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Bio-Circle
Select your country in the list below


SECTION 1: DESIRED POSITION
Country:
Other country:
Title of position:
Department:
full-time part-time internship
Requested salary:
 Date of availability:
Have you already worked for our company?
Yes
No
If yes, what position did you hold? Duration of employment:
From to
SECTION 2: PERSONAL INFORMATION
Name:
 Surname:
Address:
 City:
State/Province:
Zip/Postal code:
 country:
Day availability: (check your choice)
Mon Tue Wed Thu Fri Sat Sun 		Telephone(home):
Telephone(work):
SECTION 3: EDUCATION
Level Name and city of institution From To Last year Specialty Certificate or diploma
Secondary
College
University
Other


SECTION 4: LANGUAGES
  Spoken Written
  Very
well		 Well A bit Very
well		 Well A bit
1
2
3
4


SECTION 5: TECHNICAL INFORMATION
Do you hold a valid driver's permit?
yes no 		Class:
Are you a member of a professional association? If yes, please comment:
Which software are you comfortable to work with?
Word processor:
Spreadsheet:
Database:
Other:



SECTION 6: EXPERIENCE
experience 1
Name and address of current or most recent employer:
Position:
Name of your immediate supervisor:
Telephone:
Reason of departure:
Duration of employment:
from to 		Your responsibilities:
Salary:



May we contact your current employer?
yes no
experience 2 (optional)
Name and address of current or most recent employer:
Position:
Name of your immediate supervisor:
Telephone:
Reason of departure:
Duration of employment:
from to 		Your responsibilities:
Salary:



May we contact your current employer?
yes no
experience 3 (optional)
Name and address of current or most recent employer:
Position:
Name of your immediate supervisor:
Telephone:
Reason of departure:
Duration of employment:
from to 		Your responsibilities:
Salary:



May we contact your current employer?
yes no
SECTION 7: CANDIDATE DECLARATION
I DECLARE THAT THE INFORMATION HERE-INCLUDED IS COMPLETE AND EXACT. I AM AWARE THAT ANY FALSE DECLARATION WOULD ENTAIL IN THE IMMEDIATE DISMISSAL OF MY APPLICATION. FURTHERMORE, IF I AM HIRED, I AM WILLING TO BEGIN MY MANDATE ON A PROBATIONARY BASIS I
AGREE
TO RECEIVE A CONFIRMATION OF RECEIPT, PLEASE GIVE US YOUR E-MAIL ADDRESS:


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