ΘΕΟΦΑΝΟΥΣ ΜΙΧΑΛΗΣ – Αρεταίειο Νοσοκομείο

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Your Personal Information

Personal information is only indented to be used by the Hospital for employment purposes THE APPLICATION FORM SHOULD BE SUBMITTED TO THE OFFICES OF ARETEION HOSPITAL

Mr or Mrs*

Mr

Mrs

First Name*

Last Name*

Maiden Name

Your Email Address*

Home Phone

Mobile Phone*

Residential Address*
Street Address City State / Province / Region ZIP / Postal Code Country

Citizenship*

Permanent Cyprus resident?*

Identity Number

ARC

Social Insurance Number

Date of Birth*
DD slash MM slash YYYY

Birth Place

Requested Position*

Employment Status*

Date you would be available to start work:*
DD dash MM dash YYYY

Mother Language

Indicate your level in foreign languages (other than month languages)*
E: Excellent V.G.: Very Good, G: Good
Language
Speech
Writing

ACADEMIC EDUCATION
Please indicate the level of your Academic Education
Graduate*

Elementary

Gymnasium

Lyceum / Technical School
Degree*

Associate

Bachelor

Master

Ph.D / Doctorate
The fields below to be completed by university / college graduates, starting from the most recent:
University / College
City
Country
Degree
Specialization / Major
Graduation year

Interests / Hobbies*
Employment Data
Please refer to your past employment, starting from most recent
Please list your previous employers, the dates you worked and the position you held
Employer
Date From
Date To
Position
Supervisor Name
Supervisor Tel
Monthly Salary €
Reason for Leaving

Other Data
Allowed to work in Cyprus*

YES

NO
Cyprus Driver’s License?*

YES

NO
Indicate any computer programs you can handle
Windows
MS Office
Internet
Other
Indicate any exams in which you have taken successfully (Governmental and / or other )
Have you participated in any professional seminars or conferences lately:
Date
Title

Indicate two contract persons for professional references:
Name
Telephone

Tell Us About Yourself
Upload Your Resume
Upload your resume in .pdf, .doc or .docx format
Accepted file types: pdf, doc, docx, Max. file size: 2 MB.
CONFIRMATION AND CONSENT OF THE APPLICANT*
THE INFORMATION IN THIS APPLICATION IS GIVEN WITH MY CONSENT. IT IS PRECISE AND TRUTHFUL. THIS IS MY WRITTEN CONSENT TO ARETAEIO HOSPITAL TO EXPLORE THE VALIDITY OF MY ACADEMIC AND PROFESSIONAL QUALIFICATIONS AS THEY ARE REPORTED ON THE APPLICATION FORM. I UNDERSTAND THAT IN ORDER TO BE EMPLOYED BY ARETAEIO HOSPITAL I SHOULD SUBMIT ALL RELEVANT DOCUMENTS REQUESTED ON THE APPLICATION FORM AND ACCEPT THE CODE OF CONTACT OF THE HOSPITAL.
I agree
Personal information is only indented to be used by the Hospital for employment purposes THE APPLICATION FORM SHOULD BE SUBMITTED TO THE OFFICES OF ARETAEIO HOSPITAL
Signature

Dr. Theophanous Michalis

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WITH THE RELIABILITY AND PRESTIGE OF

Your Personal Information

ACADEMIC EDUCATION

Employment Data

Other Data