You are applying for a job or would like to submit a spontaneous application. Please use the attached form and fill in if necessary. Enclose your CV.
Name* :
Surname* :
Date et lieu de naissance :
Nationality :
Nom de jeune fille :
Adresse * :
Ville* :
Code postal* :
Pays* :
Tél *:
E-mail :
National Insurance No :
Marital status :
Position sought * :
Salary expectations :
School and university studies * *(please fill in or enclose CV). Give secondary, further education, training courses or adult training.Specify the years (from … to …), the diplomas obtained , or final years and any options or specialisations.
Foreign languages (please fill in or mention on attached CV). Give your levels in reading and conversation, and note any time spent abroad.
Professional experience *(please fill in or attach CV and send to drh@wirquin.com)
Imperative information: dates, company name, address and number of staff, activity, annual gross salary, position occupied, description of tasks and reasons for leaving.
Miscellaneous information
Driving licence :
Own car :
Particular constraints :
Do you accept to work at night ?
Do you accept to work in a team ?
Date available:
Geographical mobility :
Sports/Society activities :
Special aptitudes :