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Position applying
for (if applicable):
Job No. (from job list): |
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How did you hear
about DLUHR? |
Friend
Newspaper
Magazine
Internet
Other |
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*Full
name |
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DOB (MM/DD/YY |
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Gender |
Male
Female |
Hukou/Nationality |
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Place of Birth |
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Visa/Residency Status
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Marital Status |
SingleMarried |
No. of children |
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General Health |
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Driving license? |
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Passport/Identification# |
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Interests/Hobbies |
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Work Experience |
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Dates of Employment |
Company/Title/Responsibilities |
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Education |
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Years of Attendance |
School Name, Location, Degree |
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Language Skills
(Choose A, B, C, D, or E from
the box at the right to note proficiency) |
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Language |
Speaking |
Writing |
Proficiency Level |
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A=Fluent B=Advanced C=Intermediate
D=Basic E=Beginning |
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IT Skills |
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References
- List contact information for at least two non-family references |
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Name |
Title/Occupation |
Telephone # |
Email/Mailing Address |
Years known |
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Additional
Certificates/Training |
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Date of Certification |
Certificate Title/Institution |
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Preferred Positions |
1
2
3 |
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Salary Requested |
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Date of Availability |
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Address |
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Mailing Address if different |
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Primary (Home) Phone |
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Fax |
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Work number |
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Emergency # and Contact name |
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Pager |
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*E-mail |
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Mobile |
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My career goals include |
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My greatest strength is |
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