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EMPLOYMENT / JOB APPLICATION (APLICATIE LOC DE MUNCA)

PERSONAL INFORMATION / INFORMATII PERSONALE

FULL NAME: ___________________________________ BİRTHDATE: __________________


(Numele Complet) First (Nume) Middle (Initiala tata) Last (prenume) (Data Nașterii )
ADDRESS: _____________________________________________________________
(Adresa) Street Address(Strada, nr.) Apt/Suite(Apart. nr.)

_____________________________________________________________
City(Oras, localitate) State(judet)

MARITAL STATUS (Starea civilă): __________________________________

E-MAIL: __________________________________ PHONE: _____________________


(Adresa Email) (Telefon Mobil)

SOCIAL SECURITY NUMBER (SSN): _________________________________________


(Casa de Asigurari a municipiului / judetului…….….)

DATE AVAILABLE: __________________ DESIRED PAY: $_________ ☐ HOUR ☐ SALARY


(Data de la care sunteti disponibil) (Salariul dorit) (Salariu Orar) / (Salariu Net)

POSITION APPLIED FOR: _________________________________________________


(Pozitia pentru care aplicati)

EMPLOYMENT DESIRED: ☐ FULL-TIME ☐ PART-TIME ☐ SEASONAL


(Timpul de munca dorit) (8 ore / timp partial /sezonier)

HAVE YOU EVER BEEN CONVICTED OF A FELONY? YES☐ NO☐


(Ati avut vreodata dosar penal?) (DA) (NU)

IF YES, EXPLAIN:
(Daca da, va rugam sa detaliati)

WHOSE REFERENCE DID YOU CONTACT US WITH :_______________________________


(A cui referință ne-ați contactat)

EDUCATION (STUDII)
1
HIGH SCHOOL: _____________________ CITY / STATE: _____________________
(Liceu) (Oras / Judet)

FROM: _____________________ TO: _____________________


(Perioda: de la….) (la…)

GRADUATE? ☐ YES ☐ NO DIPLOMA: _____________________


(ABSOLVENT?) (Da) (Nu) (DIPLOMA)

COLLEGE: _____________________ CITY / STATE: _____________________


(FACULTATE) (ORAS / JUDET)

FROM: _____________________ TO: _____________________


(Perioda: de la….) (la…)

GRADUATE? ☐ YES ☐ NO DEGREE: _____________________


(ABSOLVENT?) (Da) (Nu) (CALIFICARE)

OTHER: _____________________ CITY / STATE: _____________________


(ALTELE) (ORAS / JUDET)

FROM: _____________________ TO: _____________________


(Perioda: de la….) (la…)

DEGREE/CERTIFICATION: _____________________
(GRAD / CALIFICARE)

OTHER: _____________________ CITY / STATE: _____________________


(ALTELE) (ORAS / JUDET)

FROM: _____________________ TO: _____________________


(Perioda: de la….) (la…)

DEGREE/CERTIFICATION: _____________________
(GRAD / CALIFICARE)

PREVIOUS EMPLOYMENT (LOCURI DE MUNCA ANTERIOARE)

2
EMPLOYER 1: __________________________________________________________
(ANGAJATOR 1) Company /Companie

E-MAIL: __________________________________ PHONE: _____________________


(ADRESA EMAIL) (TELEFON MOBIL)

JOB TITLE: ______________ RESPONSIBILITIES: _____________________________


(FUNCTIA) (RESPONSABILITATI)

FROM: _____________________ TO: _____________________


(Perioda: de la….) (la…)

REASON FOR LEAVING: _______________________________________________________


(MOTIVUL PLECARII)

EMPLOYER 2: __________________________________________________________
(ANGAJATOR 2) Company / Companie

E-MAIL: __________________________________ PHONE: _____________________


(ADRESA EMAIL) (TELEFON MOBIL)

JOB TITLE: ______________ RESPONSIBILITIES: _____________________________


(FUNCTIA) (RESPONSABILITATI)

FROM: _____________________ TO: _____________________


(Perioda: de la….) (la…)

REASON FOR LEAVING: _______________________________________________________


(MOTIVUL PLECARII)

EMPLOYER 3: __________________________________________________________
(ANGAJATOR 3) Company / Individual (Companie / Individual)

E-MAIL: __________________________________ PHONE: _____________________


(ADRESA EMAIL) (TELEFON MOBIL)

STARTING PAY: $_________ ☐ HOUR ☐ SALARY ENDING PAY: $_________ ☐ HOUR ☐ SALARY
(SALARIUL INITIAL) (Salariu Orar) / (Salariu Net) (SALARIUL FINAL) (Salariu Orar) / (Salariu Net)

JOB TITLE: ______________ RESPONSIBILITIES: _____________________________


(FUNCTIA) (RESPONSABILITATI)

FROM: _____________________ TO: _____________________


(Perioda: de la….) (la…)

REASON FOR LEAVING: _______________________________________________________


(MOTIVUL PLECARII)

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COMPUTERS AND TECHNOLOGY (ABILITATI TEHNICE)

COMPUTERS AND TECHNOLOGY (ABILITATI TEHNICE)

Fair - Echitabil Good -Bun Excellent -Bine ai venit

MS Word
MS Excel
MS PowerPoint
Other | Alter

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