COMPANY OR

EMPLOYER NAME: Apple POSITION

APPLIED FOR: Manager
EMPLOYMENT APPLICATION APPLICANT TELEPHONE:
5893-1451
SACIAL SEGURITY
NUMBER:789101281340
YOUR NAME: ____VENEGAS CAROLINA
___
Last FIrst
Middle

ADDRESS : ARE YOU LEGALLI ELIGIBLE FOR

EMPLOYED IN THE U. S. A ?
# 10 Brasil rd , San Miguel, yes no ( if yes, verification will be
requiered)
Atizapan de Zaragoza, Ms. Mex. I AM SEEKING A PERMANENT
POSITION: yes no
IF NECESSARY FOR THE JOB I
AM ABLE TO:
Are you able to perform the esencial funcions Work (wich shifts)? Select:
_______________
Of the position with or without accommodations? Work overtime? Select:
_____________
Provide a valid Alaska
Drivers License? Select:_______
IF NECESSARY FOR THE JOB , ARE YOU OVER (please mark one) 14__ 15__ 16 __ 18__
19__ 21__
I WILL BE ABLE TO REPORT TO WORK _0_ DAYS AFTER BEING NOTIFIED THAT I AM HIRED.

EDICATION: Yrs. Completed Field of study Gradúate or

3 general degree
High school: Oficial Anexa a la Normal de Gradúate
Atizapan 4 Society degree
College/universiti: Normal de Atizapan de
Zaragoza
Buseness/technical:_______________________
Other (may include grammar school)

MILITARY SERVECE: yes no

Duty/ Specialized Training:
_______________________________________________________
REFERENCES : List two personal references who are not relatives or former supervisions.

Efrain Breton Diaz #14 Ave Fresnos 5814-6105 lewyer

6____
Name Address Telephone
Ocupaton Years known
Rosaro Martinez Olguin #51 st Alondra 5819-5272 cheff_____
_4__
Name Address Telephone
Ocupaton Years known

EMPLOYMENT: List last employement firs. Include summer or temporary jobs. Be sere all you
experience or employers related to this job are listed hare, in the summay (following this section ), or use
an extra sheeet of paper in necessary.

Employer Name and Position Title/ Duties Skills Dates Employed from
Address From to
 HOME DEPOT 2004
MANAGER 2007
#105 CALACOAYARD Reason for leaving
TLALNEPANTLA
Supervisor`s Name: salary
Telephone:
Javier Rodriguez
5061-1105

Employer Name and Position Title/ Duties Skills Dates Employed from
Address From to
LG 2007
MANAGER 2010
#206B JAIME NUNO ST Reason for leaving
DISTRITO FEDERAL
Supervisor`s Name: schedule
Telephone:
Daniel Ortiz 2602-
1421