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APPLICATION TO WORK

Title of Job Applied for: __social worker _


Date of application: 2/9/2013
Full Name: safiyah abd Rahim Mahmoud shaar
Nationality: Jordanian
Tel: (mobile/land): _ (0796669809) (0788560511)
Address:

__amman,tabarbur___

Email address:____safiyah.shaar@yahoo.com____
ID Number: 9812025036_____
Are you legally able to work in Jordan?

Yes/No

To be attached to this application form:


1. A letter addressing the selection criteria explaining why you
are a suitable candidate for the job
2. A detailed CV outlining education and work history
3. Names and contact details of 3 referees (including your
current supervisor, your previous supervisor and one other
person) (Dr, fatma alzamer)
Additional information

Languages spoken and fluency:


Arabic fluency
English good

Answers to the following questions will not affect your employment


but are required:

Have you ever been convicted of a crime (include traffic offenses if


more than three over the last three years)?
Yes/No

If you are presently employed by the Government of Jordan, do you


intend to take Leave of absence?
Yes/No

Do you have any chronic medical condition that needs regular


treatment or any medical condition that may affect your ability to
work?
Yes/No

Are you related to anyone working in CARE at the present time?


Yes/No
I certify that I have not provided support of any kind in violation of
applicable law to a person or entity that I know or have reason to
know advocates terrorism or engages in terrorist activity.
I hereby certify that all information included on this application and
any attachments are true and correct to the best of my knowledge
and belief. I do hereby authorize any and all investigations deemed
necessary by CARE to verify the information contained herein and
verify my qualifications for the job(s) for which I am applying.
Furthermore, I hereby authorize any and all current or former
employers to release all employee records. I hereby authorize CARE
to obtain, and I authorize all persons or entities holding such
information to release reports and information regarding my
background including without limitation any information regarding
my education, criminal convictions, character references, credit
history and possible terrorist affiliations.
I do hereby RELEASE, INDEMNIFY AND AGREE TO HOLD HARMLESS
CARE and any persons or entities obtaining, releasing or using such
information from all claims relating to obtaining, releasing or using
such information. This foregoing obligation extends to officers,
agents and employees of those entities, persons and CARE and to
their respective heirs, legal representatives, successors and assigns.
I understand that if my application and employment is based on
false information, I may be subject to immediate dismissal.

Signature of applicant _SAFIYAH SHAAR

Date 2/9/2013

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