Personal information (please print)
First Name
Middle Name
Last Name
Street
Apartment
Telephone Number
City/town
Zip code
What would your starting date be?
Do you have authorization to work in the U.S.A.?
Yes
No
How did you hear about Barri?
Education
School
Curso de Estudio
Diploma/Certificado
College
Curso de Estudio
Diploma/Certificado
University
Curso de Estudio
Diploma/Certificado
Other
Curso de Estudio
Diploma/Certificado
Are you willing to work in different shifts?
Yes
No
Are you willing to work during weekends?
Yes
No
Have you worked with this company before?
Yes
No
If yes, please indicate when
Are you currently working?
Yes
No
If yes, can we contact your current employer?
Yes
No
Can you successfully perform the activities demanded by the position you are applying for?
Yes
No
Have you been declared guilty by any offense?
Yes
No
Do you live with anybody that has been declared guilty of a criminal offense?
Yes
No
(If yes, please explain why. An affirmative answer does not disqualify the applicant for the hiring process in Barri Remittance Corporation.)
Special Skills
Inglés
Other skills
Work Experience
Please indicate your last 3 positions held, beginning by the most recent one. Also, please indicate any other position you have held outside the U.S. You are authorized to exclude organizations that indicate your race, color, religion, gender, nationality, mental or physical disabilities, or any other condition stated by the law.
Company Name
Position
Start Date
End Date
Salary
City
State
Reason for leaving
Responsibilities
Phone Number
Company Name
Position
Start Date
End Date
Salary
City
State
Reason for leaving
Responsibilities
Phone Number
Company Name
Position
Start Date
End Date
Salary
City
State
Reason for leaving
Responsibilities
Phone Number
References
Name
Relationship
Phone Number
Name
Relationship
Phone Number
Name
Relationship
Phone Number
I certify that the information above is true and complete. I authorize the verification of the information related to previous job positions, education and associations, and I understand that any false information or documentation, or lack of relevant information may be cause of rejection of my application, disciplinary measure or firing.
We are an Equal Opportunity Employer / Esta empresa ofrece igualdad de oportunidad en el empleo