PERSONAL QUESTIONNAIRE FOR JOB APPLICANT
1. First (middle) and last name ……….………
2. Date and place of birth ………
3. Nationality ……….
4. Home address ……….
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5. Current place of residence ……….………..…..
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6. Education (name of school and year of graduation, profession, specialization, scientific degree, professional title, scientific title) ………..………
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7. Supplementary education (courses, postgraduate studies, date of graduation or starting date if the education is still continued) ………
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8. Professional experience (periods of employment by successive employers and the posts held) ………..………..
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9. Additional certificates, skills, interests (foreign language proficiency levels, driving licence, computer skills) ………...
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10. I hereby declare that the data given in points 1-5 are consistent with my identity card (series ………...number ……… issued by ……….………...) or another identity document ………..………..
……….. ………..
(place and date) (signature of job applicant)
“I hereby declare that I agree to processing of my personal data during the process of recruitment for the position of ………..., conducted by the Institute of Dendrology, Polish Academy of Sciences, Kórnik (62-035, ul. Parkowa 5) aimed at concluding a contract of employment.”
...
signature of job applicant
