Tareas

Holiday Work/Travel Application Form

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PART 1 – PROGRAM SELECTION … I am applying for (Please place an “X” inthe box next to the correct answer) |
| Basic Program (GeoVisions is providing my job) |
| Agent Self-Placed (My agent in my home country found a job for me) |X | Individual Self-Placed (I found my own job. Please tell us below where you found your job.) |
I found my job from: A friend's recommendation, She worked atSurf Style at last summer.If you paid this person/organization for a job, how much did you pay? I didn´t pay. |

PART 2 – PERSONAL INFORMATION |
FAMILY NAME |González Amaya. |
GIVEN NAME | Leonardo |
ADDRESS | Calle 80a # 116b-82 Apto 315 |
CITY & COUNTRY | Bogotá, Colombia | POSTAL CODE | |
CITY OF BIRTH | Bogotá| COUNTRY OF BIRTH | Colombia |
DATE OF BIRTH (Month/Day/Year) | 02/11/1992 | SEX (Place an “X” next to correct answer) | X MALE_FEMALE |
COUNTRY OF RESIDENCE |Colombia | COUNTRY OF CITIZENSHIP | Colombia |
HOME PHONE(INCLUDE COUNTRY AND CITY CODE) | (0571) 2282099 | MOBILE PHONE(INCLUDE COUNTRY AND CITY CODE) | (057)3202680473 |
HOME COUNTRY EMAIL | leo-agonzalez@hotmail.com | EMAIL YOU WILL USE IN THE USA | leo-agonzalez@hotmail.com |
EMERGENCY CONTACT NAME | Omar Amaya |EMERGENCY CONTACT PHONE (INCLUDE COUNTRY AND CITY CODE) | (057) 3115009213 |
YOUR UNIVERSITY | Escuela Colombiana de Ingeniería Julio Garavito | YEAR YOU WILL GRADUATE |2014 |
EARLIEST DATE YOU CAN WORK | 05/20/2012 | LATEST DATE YOU CAN END WORK | 08/20/2012 |
IF YOU HAVE EVER BEEN CONVICTED OF A CRIME, PLEASE EXPLAIN. | No |