APPLICATION FOR EMPLOYMENT

THE INFORMATION PROVIDED HERE WILL BE TREATED CONFIDENTIALLY PHOTOGRAP

HY
RECENT
Date Position applied for Desired monthly salary

PERSONAL INFORMATION
Paternal Surname Mother's Last Name Name(s) Age

Address Colony C. P. Sex

Male
- Female
Place of Birth Phone Date of Birth Nationality

Lives with: Height Weight

- His parents Your family Relatives Only
People who depend on you Marital Status
Children Spouse Parents Others - Single - Married - Other (explain) .

DOCUMENTATION
Reg. Fed. Taxpayers Social Security Affiliation No. Military Service Card No. Passport No.

If you are a foreigner, which document

Do you have a driver's license? License type and number allows you to work in the country?
No. Voter's Credential
No z Yes -
Unique Population Registration Number (CURP) No. From Afore
1__1__1__1__1__1__1__1__1__1__1__1__1__1__1__1__1__1__1__1__1__1__1__1__1__1
HEALTH STATUS AND PERSONAL HABITS
How do you consider your current state of Do you suffer from any chronic disease? What is your favorite hobby?
health? Very Good Good Fair Poor No z If □
Do you practice any sports? Do you belong to any Social or Sports Club?

What is your goal in life?

FAMILY DATA
NOMBRE VIVE FINISHE
D
DOMICILIO OCUPATION
Father
Mother
Spouse
Name and ages of children

SCHOLARSHIP
NAME OF SCHOOL ADDRESS PERIOD YEAR TITLE RECEIVED
Primary S

Secondary
High school or equivalent
Professional
Commercial or other

Studies currently underway

School Schedule Course or career Grade

 GENERAL KNOWLEDGE
Languages mastered Proficient software Office functions mastered
z English z French Other
Office machines or work equipment that you know how to operate

Other trades, jobs or functions mastered

CURRENT OR PREVIOUS EMPLOYMENT

CONCEPT CURRENT OR LAST JOB PREVIOUS EMPLOYMENT PREVIOUS EMPLOYMENT PREVIOUS EMPLOYMENT
Time served From a From a From a From a

Company Name
Address

Phone
Initial
Salary
Final

Reason for separation

Name of your direct
supervisor
Position of your direct
supervisor
May we request
reports from you? z Yes z No (reasons) z Yes z No (reasons) z Yes z No (reasons) z Yes z No (reasons)
FAMILY DATA
NOMBRE DOMICILIO TELEPHONE OCUPATION TIME TO MEET HIM

GENERAL DATA
How did you hear about this job?
z Advertisement z Other (please note)
Do you have any relatives working in this Company?
z No______________z Yes (Write it down)
Have you been entrenched?
z No z Yes (Company Name)
Have you ever been a member of a labor union?
z No______________- Yes, which one?
Do you have life insurance? Sum insured
z No______________z Yes Company name. $
Can you travel?
z Yes z No (reasons)
Are you willing to change your place of residence?
z Yes z No (reasons)
Date you could report for work
ECONOMIC DATA
 Do you have other income? Monthly amount
z No z Other means (please describe) $
Does your spouse work? Monthly salary $
z No z If (Where)
Do you live in your own home? Approximate
z No z Yes value $
Do you pay rent? Monthly rent $
z No z Yes
Do you own a car? Model
z No z Yes
Do you have debts? Importel $
z No z Yes
How much do you pay monthly? $

How much are your monthly expenses? $

INTERVIEWER REMARKS

I certify that my answers are true. Authorized monthly salary Authorization

Applicant's signature Name, Signature and

Date