Application form

Personal Information

Upload foto:

Program: *

H2B Work & Travel Au pair Internship Greece

Gender: *

Male   Female 

Age: *

Birthday: *

  ZZ/LL/YYYY

First name: *

Last name: *

Permanent Address: *

City: *

Country: *

Zip code:

Telephone:

Mobile Phone: *

E-mail: *

Current address: *

Citizenship: *

Native country: *

Passport number:

Issued on:

Expires:

  DD/MM/YYYY

Emergency Contact 1

Name: *

Phone: *

City: *

Country: *

Zip code:

Speaks English: *

YES   NO 

Relation: *

Emergency Contact 2

Name: *

Phone: *

City: *

Country: *

Zip code:

Speaks English: *

YES   NO 

Relation: *

Tell us about yourself

Civil state: *

Married   Single   Divorced 

Height: *

  cm  

Weight: *

  Kg  

Served in the army ?:

NO   YES 

Branch:

From:

  DD/MM/YYYY

To:

  DD/MM/YYYY

Smoker ?:

NO   YES 

Driver license:

Practice any sport:

NO   YES 

What sports:

Certificate:

NO   YES 

What certificate:

Tell us about your education

Education:

Unskilled   HighSchool    Student    University Graduate  Mid Level    Management 

Highschool:

  Name, Location

Graduation date:

  DD/MM/YYYY

Faculty:

  Name, Location

Graduation date:

  DD/MM/YYYY

Master:

  Name, Location

Graduation date:

  DD/MM/YYYY

Other qualifications:

Tell us about your travels

Countries visited: *

Have you applied for J1 or H2B:

NO   YES 

When ?:

What company ?:

Have you been accepted:

NO   YES 

Have you been refused by Embassy:

NO   YES 

For what visa have you applied ?:

Have you ever been in U.S. ?:

NO   YES 

When and where ?:

You have relatives in U.S ?:

NO   YES 

Tell us about your previous work or training experience

Curently Employed:

NO   YES 

Last Employer:

Position held:

Dates of work:

3 responsibilities:

Employer 2:

Position held:

Dates of work:

3 responsibilities:

Employer 3:

Position held:

Dates of work:

3 responsibilities:

Other employers:

Volunteering:

Foreign languages:

Tell us about your expectations

Why should we
accept your application:

What do you expect from this job:

Other skills that
relate you to this job:

Tell us about your health

Do you have health problems that will affect your work:

Health problems in the past:

NO   YES 

Did you hear
about us:

Yahoo   FaceBook    Friend  Google
Other sites 

TO BE READ AND SIGNED BY THE APPLICANT

IT IS AGREED AND UNDERSTOOD THAT ANY MISREPRESENTATION OF INFORMATION GIVEN ABOVE AND WITHIN SHALL BE CONSIDERED AN ACT OF DISHONESTY. IT IS AGREED AND UNDERSTOOD THE EMPLOYER OR ITS AGENTS MAY INVESTIGATE THE APPLICANT’S BACKGROUND TO ASCERTAIN ANY AND ALL INFORMATION OF CONCERN TO APPLICANT’S RECORD, WHETHER SAME IS RECORD OR NOT, AND APPLICANT RELEASES EMPLOYERS AND PERSONS NAMED HEREIN FROM ALL LIABILITY FOR DAMAGES ON ACCOUNT OF THEM FURNISHING SUCH INFORMATION. IT IS AGREED AND UNDERSTOOD THAT THIS APPLICATION IN NO WAY OBLIGATES THE EMPLOYER TO EMPLOY THE APPLICANT. IT IS AGREED AND UNDERSTOOD THAT IF HIRED, THE EMPLOYEE WILL BE ON A SIXTY (60) DAY EVALUATION PERIOD.

IT IS AGREED AND UNDERSTOOD THAT ALL EMPLOYMENT WITH THE COMPANY IS ON AN AT-WILL BASIS AND AS SUCH THE COMPANY MAY TERMINATE EMPLOYMENT AT ANY TIME AND FOR ANY REASON.

THIS CERTIFIES THAT THIS APPLICATION WAS COMPLETED BY ME AND THAT ALL ENTRIES ON IT AND INFORMATION IN IT ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

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