Costa Crociere S.p.A.

Company Management System

PICTURE

POSITION APPLIED FOR: FINAL POSITION PROPOSED: ID NUMBER:

CANDIDATE PERSONAL DATA

First Surname: Second Surname:

First Name: Second Name:

Place of Birth: Date of Birth:

Gender: Nationality: Civil Status:

Legal Address: ZIP Code:

City/Town: State: Country:

Home Address: ZIP Code:

City/Town: State: Country:

Mobile: Phone: E-mail:

Height (m): Weight (kg): Arrival/Departure Airport:

Person to contact in case of emergency: Relation to applicant:

Phone: Address: ZIP Code:

Father's Surname: Mother's Surname:

Father's Name Mother's Name

P5.01.01 IO 01 SMS MO 02 Application and Evaluation Form Rev. 0 01/03/2015

Costa Crociere S.p.A. Company Management System

Father's Birth Country: Mother's Birth Country:

PERSONAL DATA

Passport Number: Place of Issue:

Issue Date: Expiration Date:

Fiscal Code Number (only for italians):

US VISA Number: Place of Issue:

Issue Date: Expiration Date:

National Seaman Book Number: Place of Issue:

Issue Date: Expiration Date:

EDUCATION
School Name and Location From To Subject Marks Year Attended
High School
University/College
Other

LANGUAGE KNOWLEDGE
Basic User Indipendent User Proficient User
1. A1 - A2 2. B1 3. B2 4. C1 5. C2
Italian
English
French
German
Spanish
Portoguese
Chinese (Mandarin)
Other:

P5.01.01 IO 01 SMS MO 02 Application and Evaluation Form Rev. 0 01/03/2015

Costa Crociere S.p.A. Company Management System

5 C2 Can understand with ease everything heard or read. Can express very fluently and precisely differentiating shades of meanings. Mother tongue.

4 C1 Can understand a wide range of demanding, longer texts and recognize implicit meaning. Can express fluently and spontaneously.

3 B2 Can understand the main ideas of complex text. Can interact with a degree of fluency and spontaneity with native speakers.

2 B1 Can understand the main points of clear standard input on familiar matters regularly encountered in work, leisure, etc.

1 A1- Can understand and use familiar everyday expressions and very basic phrases aimed at the satisfaction of needs of a concrete type. Can communicate in a simple and direct exchange of information.
A2

WORKING EXPERIENCE
Company Position held Type of contract From To Subject

PROFESSIONAL QUALIFICATIONS / CERTIFICATES

Licenses Type Data Awarded Place Awarded Registration Date

DECLARATION

I attest to the veracity of all facts on this application and understand that misrepresentation and/or intentional omission of same is grounds for refusal or dismissal. I authorize investigation of all statements and hereby release from liability all employers and agencies
named herein for providing information about me. I understand that employment may be based upon a favorable health/medical evaluation. I agree to follow all rules and regulations of the company and accept that these may be changed without notice.
Data protection law. With reference to the Italian D.Lgs. 196/2003, the Applicant is hereby notified that the Company is processing and detaining personal data to be treated electronically or manually. The personal data supplied by the Applicants will be used for the
sole purposes of selection, recruitment and manning of the applicants of the Company and will be communicated to third parties only where required in connection thereof.

Date: Signature of applicant:

PRE-SELECTION RESULTS

P5.01.01 IO 01 SMS MO 02 Application and Evaluation Form Rev. 0 01/03/2015

Costa Crociere S.p.A. Company Management System

ENGLISH TEST

Final Score: Rating (OK/NOT OK)

PSYCHOLOGICAL TEST (if applicable)

Final Score: Rating (OK/NOT OK)

RECRUITER NAME AND SURNAME:

MANNING AGENT - STRUCTURED INTERVIEW
TYPE COMPETENCE EVALUATION
CORE Result Orientation
CORE H.E.S.S.
CORE Innovation
CORE Service & Quality
CORE Change
CORE Cooperation
CORE Ethics
MANAGERIAL Leading and Developing People
MANAGERIAL Entreprenaurial Spirit

Final Score: #DIV/0! Rating (OK/NOT OK)

Final Evaluation by MA

Final Evaluation Position Proposed:

Date: dd/mm/yyyy Signature

P5.01.01 IO 01 SMS MO 02 Application and Evaluation Form Rev. 0 01/03/2015

Costa Crociere S.p.A. Company Management System

SELECTION RESULTS
RECRUITER NAME AND SURNAME:
HR PARTNER/ CORPORATE - STRUCTURED INTERVIEW
TYPE COMPETENCE EVALUATION
CORE Result Orientation
CORE H.E.S.S.
CORE Innovation
CORE Service & Quality
CORE Change
CORE Cooperation
CORE Ethics
MANAGERIAL Leading and Developing People
MANAGERIAL Entreprenaurial Spirit

Final Score: #DIV/0! Rating (OK/NOT OK)

ENGLISH ASSESSMENT

Final Score: Rating (OK/NOT OK)

5 C2 Can understand with ease everything heard or read. Can express very fluently and precisely differentiating shades of meanings. Mother tongue.
4 C1 Can understand a wide range of demanding, longer texts and recognize implicit meaning. Can express fluently and spontaneously.
3 B2 Can understand the main ideas of complex text. Can interact with a degree of fluency and spontaneity with native speakers.
2 B1 Can understand the main points of clear standard input on familiar matters regularly encountered in work, leisure, etc.
1 A1-A2 Can understand and use familiar everyday expressions and very basic phrases aimed at the satisfaction of needs of a concrete type. Can communicate in a simple and direct exchange of information.

Final Evaluation by Recruiters

Final Evaluation by
Position Proposed:
Recruiters

Date: dd/mm/yyyy Signature of Recruiter Please insert digital signature

P5.01.01 IO 01 SMS MO 02 Application and Evaluation Form Rev. 0 01/03/2015