Learning Resource Center

 

 

Name الاسم:
DOB تاريخ الميلاد:
Address العنوان:
City, Zip المدينة– الرقم البريدى:
Home Phone تليفون المنزل:
Work Phone تليفون العمل:
Mobile Phoneتليفون المحمول:
E-mail Address بريد الكترونى:
Salary Expectation (must give a range) المرتب المتوقع لابد من ذكر حد:

 

Discharge Date:_____ ______ تاريخ الانتهاء  Type of Discharge_______________نوع الأعفاء أو الانتهاء

 

List education and training (university, college and include Degree/Honors, Postgraduate Studies, or any other education/training to meet the requirements specified in the job announcement.

اكتب مفصلا التعليم والتدريب ( الجامعة والكلية مع ذكر الدرجة – درجة الشرف – دراسات بعد التخرج أو اى شي اخر : تعليم / تدريب لاستيفاء المتطلبات الموصوفه في اعلان الوظيفة 

 

Name & Location of university, college, or school اسم ومكان الجامعة أو الكلية أو المدرسة:	Degree/Certification Earned  الدرجة / الشهادة الحاصل عليها:	Date التاريخ

 

List Job-Related licenses or certificates that you have 

1 ) اكتب التراخيص أو الشهادات التي لديك المتعلقة بالوظيفة

LICENSE OR CERTIFICATE التراخيص أو الشهادة	DATE OF LICENSE/CERTIFICATE تاريخ التراخيص أو الشهادة	ISSUED FROM صادرة من

Languages and level of proficiency 

2 ) اللغات ومستوى الاتقان

LANGUAGES اللغة	SPOKEN مستوى المحادثة	WRITTEN المستوى التحريري	UNDERSTANDING فهم

 

Summarize special interests and skills 

3 ) لخص الاهتمامات والمهارات الخاصة

____________________________________________________________________________

What is it about this position that interests/motivates you?

Which status do you prefer  (i) fulltime ( FT) or (ii) part-time (PT)? If part time, please list available days and times:______________________________________________________

Are you currently employed? _____ YES  ____ NO    If yes fill in:

Present Employer	Activities	Your Job Title	Gross monthly salary

 

May we contact your employer? _____ YES  ____ NO   

Beginning with the most recent, list all employment for the past 5 years.  Report all activities for the last 5 years, account for periods of unemployment, military service, schools, etc. 

 

Employer	Activities	Your Job Title	Gross monthly salary

EXPLAIN ALL GAPS OF EMPLOYMENT FOR THE PAST 5 YEARS

 

Do you know any of the LRC Staff or the Board of Directors?

What date would you be you available to work? ____________________________________

Approximately what total amount of time have you been absent from a job in the last five years, (exclude vacations) ____________________________________________________

Have you ever been fired or forced to resign from previous _____ YES  _____ NO ?  If YES, you must attach an explanation on and include employer's names and dates. ____________________________________________________________________________

I certify that all information given in this job application is true and complete to the best of my knowledge. I understand that any statement that is false, fraudulent or misleading may result in the rejection of my application, denial of employment, and dismissal from state service if discovered after employment.

 

Signature		Date