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Application Form

Personal details
Application for:
Name:
Surname:
Date of birth (dd mm yyyy): --
Address at which you can be reached:  
  Street and house number:
  City:
  ZIP Code:
  Country:
  Nationality:
E-mail address:
www:
Telephone:
(eg. +48 12 345 67 89)
Marital status:
Load your picture (max 45 Kb):


Education
University:
Faculty:
Specialisation:
From:
Until (date of graduation):
Current academic year:
Major relevant subjects (with grades):
subject   grade
1.    
2.    
3.  
4.  
5.  
Grade average: 
Master thesis: 
add another university


Scholarships
University:
Country:
Faculty:
Specialisation:
Granted by (programme, institution etc.):
From:
Until (date of graduation):
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Work experience
Organisation (firm, institution etc.):
City:
Country:
www:
From:
Until:
Position:
Referee:
Responsibilities:
add another organisation


Please rate your language skills
English fluent very good intermediate fair none
Polish fluent very good intermediate fair none
German fluent very good intermediate fair none
French fluent very good intermediate fair none
Other: fluent very good intermediate fair none
Other: fluent very good intermediate fair none
Other: fluent very good intermediate fair none


Please rate your computer skills
Internet search expert very good average user basic
MS Word expert very good average user basic
MS Excel expert very good average user basic
MS PowerPoint expert very good average user basic
Other: expert very good average user basic
Other: expert very good average user basic
Other: expert very good average user basic


Most important personal characteristics
1.
2.
3.
4.

Achievements you are particularly proud of:
Have you ever lived abroad? If so please tell us more about it here:
Why would you like to work for PMR?
Hobby:
Where did you hear about the position you apply at?


Enter the following text:

  
I hereby agree for using my personal details included in my job application as required by the recruiting process (Dz. U. 1997 r. Nr 133 poz. 883).

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