Personal information

Name *:
Gender *:	Male Female
Address *:
Postal code / Place of residence *:
Phone *:
Mobile Phone *:
E-mail address:
Date of birth *:
Place of birth:
Civil status:
Drivers license *:	Yes No
In possession of a car:	Yes No

Educational information

Education *	Certificate	Year
	No Yes:
	No Yes:
	No Yes:
	No Yes:
	No Yes:
Relevant general trainings Relevant technical trainings Obtained certificates

Working experience (in chronological order)

Period
from: till:	Emlpoyer:
	Function:
	Activities:
from: till:	Emlpoyer:
	Function:
	Activities:
from: till:	Emlpoyer:
	Function:
	Activities:

Motivation

Which function do you aspire?
What is your motivation for this application / this function *
Image your career within Simac, what does it look like ?
What is necessary for you to achieve your aims/goals ?
What do you expect from Simac ?
On which areas lie your qualities ?
On which areas lie your weak points ?
What do we need to offer you ?
What are your sideline activities?

Salary indication

Your current gross salary:	€  per
Your secondary employee benefits at this moment:	Lease car Distribution of profits Commission arrangement	Arrangement of tax-free savings Expense allowance Pension insurance
	other:
Desired gross salary:	€  per
Desired secundary employee benefits:	Lease car Distribution of profits Commission arrangement	Commission arrangement Expense allowance Pension insurance
	other:

Various

Are you willing to move ?	YesNo, reason:
Are you willing to travel a lot ?	YesNo, reason:
Are you willing to work in availability services and irregular shifts?	YesNo, reason:
Are you willing to work on Sundays ?	YesNo, reason:
Do you have a competition clause ?	NoYes, reason:
What is your term of notice ?

What is your motive to react?

Advertisement Internet On the advice of a Simac-employee On the advice of someone else Other, namely:

Remaining remarks