COMPANY OR
EMPLOYER NAME:___PASARELA _ _ POSITION APPLIED FOR: PHOTOGRAPHER
Employment Application APPLICANT TELEPHONE: 35-14-22-25_
SOCIAL SECURITY NUMBER: ________
YOUR NAME: ____GONZALEZ GALVEZ MARIA DE GUADALUPE_____
Last First Middle
ADDRES: ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE U.S.A?
. Yes No (if yes, verification will be required)
#13 ESMERALDA ST__, Mexico City________
Are you able to perform the essential functions I AM SEEKING A PERMANENT POSITION: Yes No of
the position with or without accommodations? IF NECESSARY FOR THE JOB I AM ABLE TO:
Work (which shifts)? Select: ___ _____________________
Yes No work over time? Select: yes__________ ___________
Provide a valid Alaska drivers license? Selec:___________
IF NECESSARY FOR THE JOB, ARE YOU OVER (Please mark one) 14_ 15_ 16_ 18 x 19_ 21_
I WILL BE ABLE TO REPORT TO WORK 1 DAYS AFTER BEING NOTIFIED THAT I AM HIRED
EDUCATION: Yrs. Completed Field of study Graduate of degree
High school official Anexa a la Normal de Atizapan 3 General Graduate____
University AUTONOMOUS UNIVERSITY OF MEXICO STATE 5 Sciences Degree_______
Business/Technical _
Other (may include grammar school)
MILITARY SERVICE: Yes No
Duty/specialized Training:
REFERENCES: List two personal references who are not relatives or former supervisors.
LUIS AMAYA #7 JUAREZ, SAN RAFAEL 55 31 38 89 LAWYER 11
Name Address Telephone Occupation Years Known
DANIEL RUIZ #7, Libertad, MEXICO 59 93 83 73 TECHNICAL COMPUTERS 7
Name Address Telephone Occupation Years Known
EMPLOYMENT: List last employment first. Include summer or temporary jobs. Be sure all your experience or employers
related to this job are listed here in the summary (following this section), or use an extra sheet of paper if necessary
Employer name and address Position title/Duties Skills Dates employed
From to
L&L AND ASSOCIATES LAWYER 13/ may/2000 17/March/2006
Reason for leaving
Supervisor´s Name Change of Residence
LUIS AMAYA 45-67-90-12
Employer name and address Position title/Duties Skills Dates employed
From 18/March/2006
MICROSOFT General Manager to 25/ May/2010
Reason for leaving
Supervisor´s Name CHANGE OF RESIDENCE
DANIEL RUIZ
Developed at employer request by the Alaska Department of Labor and Workforce Development, Employment Security Division.