QUESTIONNAIRE
	Lučební závody DRASLOVKA a.s. Kolín Havlíčkova 605, 280 99 Kolín IV, Tel.: +420 321 335 208 Fax: +420 321 724 133 E-mail:job@draslovka.cz
Job application

Surname: *
Name: *
Degree:
Date of birth: *
Nationality:
Citizenship: *
Street: *
City: *
Zip code: *
E-mail: *
Home phone No.: *
Appropriate time to contact you?
Cell phone:
Appropriate time to contact you?
Other phone No.:
Appropriate time to contact you?

Position

Professional position or field you are applying for *

Education

High school, undergraduate school, graduate degree, courses:

Highest qualification achieved:

Education completed with a formal exam:*

High school, undergraduate school, graduate degree, courses:

Highest qualification achieved:

Education completed with a formal exam:*

High school, undergraduate school, graduate degree, courses:

Highest qualification achieved:

Education completed with a formal exam:*

Professional history:

From - to:*		Position:*
Employer:*
Job description: *

Professional history:

From - to:*		Position:*
Employer:*
Job description: *

Professional history:

From - to:*		Position:*
Employer:*
Job description: *

Additional information:

Driver’s license, category B: *	YES NO
Driver’s license for another category of vehicles:
Required gross annual income: *
Possible employment commencement date: *
Note: Is your complete CV available? If yes, send your CV in the form of an e-mail attachment. The fields marked with the asterisk (*) are compulsory! I proclaim I filled in all the data truthfully and agree with their use within the job applicants database kept by Lučební závody Draslovka a.s. Kolín.