梦想家人力资源集团

FIRSTDREAMHUMANRESOURCES夢想家人力資源集團(監護工/幫傭)申請表(DH)POEALIC.NO.:POEA-217-LB080603-R姓名NameCATALINAA.SALCEDO出生日期BirthDate:1961Y/02M/07D年齡Age:39膚色SkinColor:BROWN血型BloodTypeO身高Height:158CMSex:性別F體重Weight:50KG宗教Religion☻天主教Catholic回教Islam無信仰None基督教Jesus語言Language國語Mandarin☻英語English日本語Nihongo福建Fookien學歷Education☻高中HighSchool大學College專科Vocational博士Doctorate婚姻CivilStatus未婚Single☻已婚Married離婚Divorced寡婦Widow幾個小孩HowmanyChildrenyouhave?5First(Age)25Last(Age)11工作選擇PreferredJob嬰兒照顧TakeCareInfant小孩照顧TakeCareChildren老人照顧TakeCareElder病人照顧TakeCarePatient☻海外經驗AbroadExp.時間From-To國家名稱Country主要工作MajorJob編號:Ref.No.159FMA1999-2003SAUDIARABIACARETAKER護照號碼PassportNo.DD865225照顧嬰兒TakeCareInfant☻願意Yes不願意No有經驗Exp.1.當你來台之後,誰將照顧你的小孩?WhowilltakecareofyourchildrenifyougotoTaiwan?照顧小孩TakeCareChildren☻願意Yes不願意No有經驗Exp.☻丈夫Husband父母Parents姐妹Sister照顧老人TakeCareElder☻願意Yes不願意No有經驗Exp.2.你是否願意把雇主家當作自己的家來照顧呢?Canyoutakecareyouremployer’sfamilylikeyours?照顧病人TakeCarePatient☻願意Yes不願意No有經驗Exp.☻願意Yes不願意No烹飪&家事CookingandHouseWork☻願意Yes不願意No有經驗Exp.3.你願意在台灣無休假嗎?Doyouacceptnoday-offinTaiwan?照顧雙包胎嬰兒Takecarenew-bornTwins願意Yes不願意No☻有經驗Exp.☻願意Yes不願意No按摩Massage願意Yes不願意No☻有經驗Exp.4.你是否願意在台灣不能用手機?DoyouacceptnouseofcellphoneinTaiwan?餵食&餵葯FoodFeeding&Medication☻願意Yes不願意No有經驗Exp.☻願意Yes不願意No協助病患大小便CleanPatientPrivateParts☻願意Yes不願意No有經驗Exp.5.你是否願意配合雇主的工作時間?Canyoucooperatewiththeemployer’sworkingtime?協助病人復健AssistPatientExercise☻願意Yes不願意No有經驗Exp.☻願意Yes不願意No隨病患作息AccompanyPatient☻願意Yes不願意No有經驗Exp.6.你願意接受吃素嗎?Areyouwillingtoeatonlyvegetables?照顧貓夠等寵物TakeCarePets願意Yes不願意No☻有經驗Exp.☻願意Yes不願意No備註Note:REMINDER:“Youpersonallybuildimagethatwouldeasilyaffectthecountryreputation,itisimpropertocovetthingsthatrightfullybelongtoothers”愛的叮嚀:你個人的行為足以影響國家形象,不屬於自己的東西,請勿佔為己有.你的專長是什麼?Whatisyourspecialskill?Ans.:SEWER,CLEANINGHOUSE,LAUNDRY,BEADSDECORATING&OTHERWORKRELATEDINHOUSE你會煮哪一種菜?Whatkindofdishcanyoucook?中國菜ChineseFood西式菜WesternDish☻菲律賓菜FilipinoDish○日本菜NihonFood面試評價InterviewAppraisal優Excellent好Good平Fair差Poor華語Mandarin/反應Response/能懂英語English/態度表現Personality/面試內容InterviewDescription:(ForInterviewerOnly)1.有護士執照經驗___年”適合富裕家庭特別護士Withnurselicense_____Yrs.experiencew/richfamily2.有教師執照教學___年”適合家庭教師及簡單家事Withteacherlicense_____Yrs.experienceteaching☻3.有國外幫傭經驗會自動自發不需雇主煩心HasabroadworkDHexperience,withinitiative4.第一次出國”乖乖單純配合度高的好工人Firsttimetogoworkabroad,simple,followupemployer☻5.有國外看護工經驗__4__年Hasabroadcaretakerexperience_____Yrs.experience☻6.不挑工作的好工人Doesnotchoosejob.Anyjobcando.7.單純家庭主婦不挑工作“有笑臉的好工人Simplehousewife,anddoesnotselectwork,smilingface8.只申請安養院工作”不考慮家庭監護工Suitedasacaregiveronlynotcaretaker.9.適合照顧老人”病人”家事”有國內看護經驗年”Suitedtotakecareelders,patient,houseworkwithlocalhousework____Yrs.experience☻10.適合照顧1歲以上小孩及一般家事”不挑工作的好工人Suitedtolookafterchildrenabove1yearold,candohouseworksanddoesnotselectwork.☻11.有照顧新生兒及一般家事經驗”有笑臉有愛心的好工人Suitedtotakecarenewbornbaby,w/houseworkexperience,havesmilingface,kindandanyjobcando.12.有台灣看護經驗”會煮中國菜”會說華語”任何工作都可接受HaveTaiwancaretakerexperience,cancookChinesedish,canspeakMandarin,acceptanywork.特別事項P.S.請提供前台灣雇主工作契約或TEL::Forex-Taiwan,pleaseprovidepreviouscontract,employername,telephonenumberandworksite.________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________申請人簽字Applicant’sSignature:面談人員簽字Interviewedby:日期Date:________________________________________________________5/4/2006_____