Employment Application

APPLICANT INFORMATION
Last Name Carvajal Ortiz First Name Bryan
Address 400 m Sur Y 75 Oeste del Estadio Yuba Paniagua
City Heredia Canton San Rafael
Phone 87837365 and 22625589 E-mail Address braco316@hotmail.com
Date Available 1/12/2020 Cédula No. 402190040
Position Applied for Customer service representative
Are you a citizen of Costa Rica? YES X NO If no, are you authorized to work in the countr

Have you ever worked for this company? YES NO X If so, when?

Have you ever been convicted of a felony? YES NO X If yes, explain

EDUCATION
High School Liceo Carlos Pascua Zuniga Address San Rafael, Heredia
From 2006 To 2010 Did you graduate? YES x NO Degree

College Address

From To Did you graduate? YES NO Degree

Technical Address

From To Did you graduate? YES NO Degree

Other INA Address

From 2012 To 2013 Did you graduate? YES X NO Degree

REFERENCES
Please list three professional references.
Full Name Luis Diego Valerio Ortiz Relationship Brother

Company Colegio de Ingenieros Topografos Phone 88821321

Email dmanie@hotmail.com
Full Name Jeffry Ortiz Relationship Cousin

Company CD Medical Phone 60405830

Email

Full Name Alfredo Lopez Relationship Ex Boss

Company Convergys Phone 83138444

Email

PREVIOUS EMPLOYMENT
Company Convergys Phone

Address Lagunilla Supervisor

Job Title Customer service representative Starting Salary $5 hr

Customer service representative for Paypal customers (9 months), managing financial

Responsibilities
support account (Verizon), where I developed troubleshooting skills, while working for V
(thanks to high performance metrics), which included to provide agents support, taking

From 2013 To 2016 Reason for Leaving

May we contact your previous supervisor for a reference? YES X NO

Company Css Corp Phone

Address Aurora, Heredia Supervisor

Job Title Technical support agent Starting Salary $ 800

Technical Support Agent for Viewsonic, Troubleshooting Viewsonic equipment like mon
Responsibilities interaction with Viewsonic Customers was via email, chats and phone calls.

From 2016 To 2017 Reason for Leaving Loo

May we contact your previous supervisor for a reference? YES NO

Company Stratus Video Phone

Address Florida; USA Supervisor

Job Title Customer Service representative Starting Salary $6 hr

Customer service representative for Stratus Video; Answered constant flow of custome
Responsibilities interaction details in a software to document problems and record solutions offered.

From 2017 To 2020 Reason for Leaving I want to w

May we contact your previous supervisor for a reference? YES X NO

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or in
 I authorize Align Technologies de Costa Rica SRL to investigate my background and qualifications for purposes of evaluating whether I am qualifie
Technologies Costa Rica will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation by
understand that I may withhold my permission and that in such a case, no investigation will be done, and my application fo

Signature