Application form

Vikargruppen Danmark
 
Name *   Cpr. No.
Address *   Bank
    Reg. No.
Zip code / city *     Account No.
    Gender
At least one number should be given here *  
Telephone    
Mobile    
E-mail    
 
 

Department  
 

Danish citizen
 Yes   No 
  Country of origin 
Speaks danish
 Yes   No 
 
Writes danish 
 Yes   No 
 
Smoker
 Yes   No 
 
 
Union
 No   Yes 
 
Which:   
Date:   
Union
 No   Yes 
 
Which:   
Date:   
 
Driving licence
 No   Yes 
 
Category:   A   B   C   D   E   BE   CE 
 
Transport
 Own car   MC   Moped   Bike   Bus/train 
Clean criminal record:    Yes  No 
 

Working hours  Day   Evening   Night   Weekend  Part time  Full time 
 
Present income  Social   Union   Wage   Other  
 

Job type  Warehouse   Cleaning   Kitchen/Cantine   Labourer
   Factory  Type:   
   Skilled  Type:   
 
Other
 

Previous employment 1:   
 
Start:  End:
 
  Description  
 
 
Previous employment 2:   
 
Start:  End:
 
  Description  
 
 
 

English  Speak   Read   Write     
Language other  Speak   Read   Write  Which: 
 

How did you hear about us?  
 Word of mouth   Family   Newspapers  Which 
 vikargruppen.dk   jobindex.dk   jobnet.dk   Jobcenteret 
 Job exhibition   Radio   Postcard   Bus advert 
 jobopslaget.dk   jobselect.dk 
Other - what? 
 
Can start Date: 
Other comments
 
 
Education/training:
 
Other courses/certificates :
 
 Hygiene cert.  Fork lift cert.
 
 

Considerations
 Allergy   Fear of heights   Other 
Children
 Drop off time:  Collection time:
Safety shoes
 No  Yes Size:
Slip-proof shoes
 Yes  
T-shirt size
 XS   S   M   L   XL   XXL   XXXL