Application Form
Education & other information
Type of School
Name of School
Location
Nr.
of years completed
College
High School
Health
Yes No
Are you ready to do extra work?
Have you applied for a cure/treatment?
Which?
Are you a recognized severly disabled person?
Degree in %:
Did you have medical check-ups?
Are you covered by health insurance?
My information is true, which I confirm by my signature.
I am aware that false information justifies dismissal without notice.
I hereby grant the consent required in accordance with Section 33, paragraph 1 of the
Bundesdatenschutzgesetz for the processing of the personal data given on my person.
I also agree that my data can also be sent to companies that Labora works with.
Mr.
Ms.
Other
Student
Personal Information
Forename/First Name:
Birth Name:
Surname/Last Name:
Birth Date:
Street & Number:
Birthplace:
Postal Code & City:
Nationality:
Dostları ilə paylaş: 
