VERCORE International Services

PAPER APPLICATION

You can complete the on-screen fillable format form using an Adobe® Acrobat Reader. You must then print and sign your completed form and submit it by mail to VERCORE.

WEB APPLICATION

Type of training

Personal information (confidential)
First Name
Last Name
Initial
Date of Birth
Email Address
Telephone
Address
City
Country
State/Province/Region
Zip Code/Postal Code
Status in Canada
Marital Status
No of Dependents

Educational background
Name of School(Secondary)
Location
Date Completed:

Name of School (Business,Trade)
Location
Degree Attained
Date Completed

Name of School (College)
Location
Degree Attained
Date Completed:

Name of School (University)
Location
Degree Attained
Date Completed

Spoken Languages :	Read Write
	Read Write
	Read Write

Computer & other Skills
DOS	Lotus 123
MS Windows	MS Office
Word Processing	Programming
Typing (WPM)
Others (specify) :

Employment History (Start with the latest)
Name Of Company
Location
Position
Dates Held

Name Of Company
Location
Position
Dates Held

Name Of Company
Location
Position
Dates Held

Training Needs
Typing
Language
Computer
Others (specify)
Reasons for taking training

References
Name
Tel. no:

Name
Tel. no:

How did you hear about us?

Student self-evaluation
Explain why you consider a career for you:

1.My present job is:	Filled with opportunities A dead end Not too promising Looking for employment

2.I believe that my training:	Is the start of my new career Will provide me with opportunities for promotion Will give me additional income Make me a better qualified person

3.The following are my strengths:	Ambitious An open and inquisitive mind People-oriented person Hardworking Resourceful

4. I consider criticism :	Constructive A welcome opportunity towards improvement An insult to my intelligence Putting me down

5. On matters where decisions have to be made:	I decide myself I consult others I procrastinate

6. When problems arise :	Ask the opinions of qualified persons I face them and solve them myself I ignore them and let the time go by

7. Work habits :	I am self motivated I make my own schedule I have my own initiative I need close Supervision

8. Acceptance of Responsibilities :	I enjoy assuming them I find difficulty accepting them I share them

9. My ability to adopt myself to changing work environment :	Good Fair Poor

10. Greatest rewards for working:	High income Sense of accomplishment Happiness Being my own boss