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.