COMPANY OR

EMPLOYER NAME:___BANCOMER _ _______ POSITION APPLIED FOR:__ACOUNTANT

________

Employment Application APPLICANT TELEPHONE: 28400229

SOCIAL SECURITY NUMBER:
12122221212895641________
YOUR NAME: _HUERTA _________________ELIZABETH______________ ____________
Last First Middle

ADDRES: ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE U.S.A?

. Yes No (if yes, verification will be required)
#83 Loma paraiso .
San Juan Ixtacala _________ I AM SEEKING A PERMANENT POSITION: Yes No
_______________________ IF NECESSARY FOR THE JOB I AM ABLE TO:
Are you able to perform the essential functions Work (which shifts)? Select: yes _____________________
of the position with or without accommodations? work over time? Select: yes__________ ___________
Provide a valid Alaska drivers license? Selec:___________
Yes No
IF NECESSARY FOR THE JOB, ARE YOU OVER (Please mark one) 14_ 15_ 16_ 18 x 19_
21_
I WILL BE ABLE TO REPORT TO WORK 1 DAYS AFTER BEING NOTIFIED THAT I AM HIRED

EDUCATION: Yrs. Completed Field of study

Graduate of degree
High school official EPOAN 3 General Graduate____
Collage/University Universidad Autonoma de Mexico 4 MAC
Degree_____
Business/Technical high school-university
_
Other (may include grammar school)

MILITARY SERVICE: Yes No

Duty/specialized Training:

REFERENCES: List two personal references who are not relatives or former supervisors.
Lopez Yareli Real de orquídea st. Mexico 23-15-01-20 administrator
5
Name Address Telephone Occupation
Years Known
Jimenez Arturo 83, Cerezos st. Mexico 86 Colony 55-23-44-89-12 administrator
8
Name Address Telephone Occupation
Years Known

EMPLOYMENT: List last employment first. Include summer or temporary jobs. Be sure all your
experience or employers related to this job are listed here in the summary (following this section), or
use an extra sheet of paper if necessary
Employer name and address Position title/Duties Skills Dates employed
Accountant From 1996 to 2003
HSBS
Alamedas, Atizapan Reason for leaving
 Mexico Supervisor´s Name Valeria Huerta 29830359 Change of address

Employer name and address Position title/Duties Skills Dates employed

Administrator From to
Bancomer
Reason for leaving
Supervisor´s Name Luis Ortiz 12562890 It was a long way

Developed at employer request by the Alaska Department of Labor and Workforce Development, Employment Security Division.