梦想家人力资源集团.docx_咨信网zixin.com.cn

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FIRST DREAM HUMAN RESOURCES 夢想家人力資源集團 (監護工/幫傭)申請表 (DH) POEA LIC. NO.: POEA-217-LB080603-R 姓名 Name CATALINA A. SALCEDO 出生日期 Birth Date: 1961 Y / 02 M / 07 D 年齡 Age: 39 膚色 Skin Color: BROWN 血型 Blood Type O 身高 Height: 158 CM Sex:性別 F 體重 Weight: 50 KG 宗教 Religion ☻ 天主教 Catholic O 回教 Islam O 無信仰 None O基督教 Jesus 語言 Language O 國語 Mandarin ☻ 英語 English O 日本語 Nihongo O福建 Fookien 學歷 Education ☻ 高中 High School O 大學 College O 專科 Vocational O博士 Doctorate 婚姻 Civil Status O 未婚 Single ☻已婚 Married O離婚 Divorced O寡婦 Widow 幾個小孩 How many Children you have? 5 First (Age) 25 Last (Age) 11 工作選擇 Preferred Job 嬰兒照顧 Take Care Infant 小孩照顧 Take Care Children 老人照顧 Take Care Elder 病人照顧 Take Care Patient O O O ☻ 海外經驗 Abroad Exp. 時間 From - To 國家名稱 Country 主要工作 Major Job 編號: Ref. No. 159 FMA 1999-2003 SAUDI ARABIA CARETAKER 護照號碼 Passport No. DD865225 照顧嬰兒 Take Care Infant ☻願意 Yes O不願意 No O有經驗 Exp. 1.當你來台之後, 誰將照顧你的小孩? Who will take care of your children if you go to Taiwan? 照顧小孩 Take Care Children ☻願意 Yes O不願意 No O有經驗 Exp. ☻丈夫 Husband O父母 Parents O姐妹Sister 照顧老人 Take Care Elder ☻願意 Yes O不願意 No O有經驗 Exp. 2.你是否願意把雇主家當作自己的家來照顧呢? Can you take care your employer’s family like yours? 照顧病人 Take Care Patient ☻願意 Yes O不願意 No O有經驗 Exp. ☻願意 Yes O不願意 No 烹飪 & 家事 Cooking and House Work ☻願意 Yes O不願意 No O有經驗 Exp. 3.你願意在台灣無休假嗎? Do you accept no day-off in Taiwan? 照顧雙包胎嬰兒 Take care new-born Twins O願意 Yes O不願意 No ☻有經驗Exp. ☻願意 Yes O不願意 No 按摩 Massage O願意 Yes O不願意 No ☻有經驗Exp. 4.你是否願意在台灣不能用手機? Do you accept no use of cellphone in Taiwan? 餵食 & 餵葯 Food Feeding & Medication ☻願意 Yes O不願意 No O有經驗 Exp. ☻願意 Yes O不願意 No 協助病患大小便 Clean Patient Private Parts ☻願意 Yes O不願意 No O有經驗 Exp. 5.你是否願意配合雇主的工作時間? Can you cooperate with the employer’s working time? 協助病人復健 Assist Patient Exercise ☻願意 Yes O不願意 No O有經驗 Exp. ☻願意 Yes O不願意 No 隨病患作息 Accompany Patient ☻願意 Yes O不願意 No O有經驗 Exp. 6. 你願意接受吃素嗎 ? Are you willing to eat only vegetables? 照顧貓夠等寵物 Take Care Pets O願意 Yes O不願意 No ☻有經驗Exp. ☻願意 Yes O不願意 No 備註 Note: < REMINDER >: “You personally build image that would easily affect the country reputation, it is improper to covet things that rightfully belong to others” < 愛的叮嚀 >: 你個人的行為足以影響國家形象,不屬於自己的東西,請勿佔為己有. 你的專長是什麼 ? What is your special skill?　 Ans.: SEWER, CLEANING HOUSE, LAUNDRY, BEADS DECORATING & OTHER WORK RELATED IN HOUSE 你會煮哪一種菜 ? What kind of dish can you cook? O 中國菜 Chinese Food O 西式菜 Western Dish ☻ 菲律賓菜 Filipino Dish ○日本菜 Nihon Food 面試評價 Interview Appraisal 優 Excellent 好 Good 平 Fair 差 Poor 華語 Mandarin / 反應 Response / 能懂英語 English / 態度表現 Personality / 面試內容 Interview Description: (For Interviewer Only) O 1. 有護士執照經驗___年”適合富裕家庭特別護士 With nurse license _____ Yrs. experience w/ rich family O 2. 有教師執照教學___年”適合家庭教師及簡單家事 With teacher license _____ Yrs. experience teaching ☻ 3. 有國外幫傭經驗會自動自發不需雇主煩心 Has abroad work DH experience, with initiative O 4. 第一次出國”乖乖單純配合度高的好工人 First time to go work abroad, simple, follow up employer ☻ 5. 有國外看護工經驗__4__年 Has abroad caretaker experience _____ Yrs. experience ☻ 6. 不挑工作的好工人 Does not choose job. Any job can do. O 7. 單純家庭主婦不挑工作 “有笑臉的好工人 Simple housewife, and does not select work, smiling face O 8. 只申請安養院工作”不考慮家庭監護工 Suited as a caregiver only not caretaker. O 9. 適合照顧老人”病人”家事”有國內看護經驗年” Suited to take care elders, patient, housework with local housework ____ Yrs. experience ☻ 10. 適合照顧1歲以上小孩及一般家事”不挑工作的好工人 Suited to look after children above 1 year old, can do house works and does not select work. ☻ 11. 有照顧新生兒及一般家事經驗”有笑臉有愛心的好工人 Suited to take care newborn baby, w/ house work experience, have smiling face, kind and any job can do. O 12. 有台灣看護經驗”會煮中國菜”會說華語”任何工作都可接受 Have Taiwan caretaker experience, can cook Chinese dish, can speak Mandarin, accept any work. 特別事項 P. S. 請提供前台灣雇主工作契約或TEL:: For ex-Taiwan, please provide previous contract, employer name, telephone number and work site. ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ 申請人簽字 Applicant’s Signature: 面談人員簽字 Interviewed by: 日期 Date:　 ____________________________ _________________________ ___5/4/2006_____

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