COMPANY OR

EMPLOYER NAME:___TRICELL_____ POSITION APPLIED FOR:__PRESIDENTE____

Employment Application APPLICANT TELEPHONE: 21477558

SOCIAL SECURITY NUMBER: ________

YOUR NAME: ______MUÑOZ_____________CHRISTOPHER__________

Last First Middle

ADDRES: ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE U.S.A?

. Yes No (if yes, verification will be required)
ARKLAN MONTAINS ARE 8_________
_______________________ I AM SEEKING A PERMANENT POSITION: Yes No
Are you able to perform the essential functions IF NECESSARY FOR THE JOB I AM ABLE TO:
of the position with or without accommodations? Work (which shifts)? Select: yes _____________________
work over time? Select: yes__________ ___________
Yes No Provide a valid Alaska drivers license? Selec:___________
IF NECESSARY FOR THE JOB, ARE YOU OVER (Please mark one) 14_ 15_ 16_ 18 x 19_ 21_
I WILL BE ABLE TO REPORT TO WORK 1 DAYS AFTER BEING NOTIFIED THAT I AM HIRED

EDUCATION: Yrs. Completed Field of study Graduate

of degree
High school official Anexa a la Normal de Atizapan 3 General
Graduate____
Collage/University INSTITUTO PILTECNICO NACIONAL (UPIBI) 4 biotecnology
Degree_____
Business/Technical high school-university
_
Other (may include grammar school)

MILITARY SERVICE: Yes No

Duty/specialized Training:

REFERENCES: List two personal references who are not relatives or former supervisors.
angel marquez /colegas 23-15-45-20 lawyer 5
Name Address Telephone Occupation
Years Known
Franco aurelio 26 Charly Crow/Manantiales 55-23-44-89-12 Doctor
2
Name Address Telephone Occupation
Years Known

EMPLOYMENT: List last employment first. Include summer or temporary jobs. Be sure all your experience or
employers related to this job are listed here in the summary (following this section), or use an extra sheet of
paper if necessary