GUPC - Grupo Unidos por el Canal

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Work at GUPC

WORKING AT GUPC

Please complete the form below with the greatest possible accuracy and completeness. After loading all the data, press the "Send" at the end.

A. PERSONAL DATA

First Name

Last Name:

Date of Birth:

Age:

Place of birth:

Nationality:

Country:

Position Seeking:

Desired Salary in $ Currency:

Middle Name:

Mother's Maiden Name:

Marital Status

Joined
Married
Single

ID number / Passport No:

Social Security Number:

Blood Type:

Do you own a car?

Yes
No

License Type:

B. ADDRESS

Country:

Town or Neighborhood:

House or Apt Number:

Street:

Home Telephone:

Cell Phone:

Additional Contact Person:

Phone:

IN CASE OF EMERGENCY NOTIFY:

Name:	Telephone:
Address:	Relationship:

C. ACADEMIC AND PROFESSIONAL

TITLES

Level (last two)	Degree Earned	Year	Educational Institution

LANGUAGES

Language	Written level	Spoken level
(Indicate if basic, intermediate, advanced, native)

COMPUTER

Computer Programs	Level
(Indicate if: basic, intermediate, advanced)

D. EMPLOYMENT INFORMATION

Provide information from the two latter companies

Company Name: Position: Date of entry: Last salary:	Telephone Number: Immediate boss: Departure date:
Company Name: Position: Date of entry: Last salary:	Telephone: Immediate boss: Departure date:

E. PERSONAL REFERENCES

Please input name and contact telephone of two people that are not relatives or current bosses that could give references about your qualifications.

Name:	Phone:	Occupation:
Name:	Phone:	Occupation:

Do you have a family member currently working on GUPC?:

Do you have any friends currently working on GUPC?:

If so, enter the name and relationship:

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