Personal information

First name(s)

Initial(s)

Surname

Gender

Day of birth

Birthplace

Country of Birth

Maiden name

Marital status

Sofi number/BSN number

Nationality

Available for work from

Registration adress

Street

house number

Zipcode

City

Country

In possesion of a drivers licence

Clothing size

Lenght

Shoe size

Mobile Number

Emergency phone number

E-mailadres

Do you wish housing in the Netherlands through AUB:

Do you wish a health insurance through our collective (compulsory in the Netherlands)

If you answered the above question with ‘No’, then you have to provide AUB van Bergen with a health insurance card or policy of your own insurance.

Do we have to apply the tax-free allowance when we employ you?

Please indicate below what kind of work interests you. The greater your interest, the greater job security we can offer you.

Are you interested in working in greenhouse horticulture?

Are you interested in working in recycling?

Are you interested in working in the meat industry?

Are you interested in working in repackaging?

Are you currently in the Netherlands?

Foreign languages

Dutch language

German language

English language

Polish language

Romanian Language

Bulgarian language

Do you have relevant work experience.

Work experience

Until

Start

Name of the company

Phone number

Place

A short description of your tasks and responsibilities

Was this through an employment agency ?

Did you accrue pension there?

Upload hier het bewijs van uw werkervaring. Bijvoorbeeld loonstrook, of overzicht. Indien u geen bewijs levert wordt uw werkervaring als niet geldig verklaard.

Upload hier uw cv

I hereby declare that, prior to this registration, I have resided in the Netherlands and that I was recruited in the Netherlands.

Education

Name education/class

Name of school

Place

Country

Starting year

Until

Succesfully finished

Allergies

Please complete the survey below so that we can prepare better for the reception of people with allergies. Please fill in the following truthfully:

Latex

Tomatoes

Pollen

Nuts

Onions

How did you find us?

Enter how you found us. Choose one of the options.

Which recruiting office did you first have contact with (for example: Beyond Resources, F.A.S Packing, Wiatrak-Jobs, AUB)?

Statement by the jobseeker:

I certify that I have voluntairily given all data in the questionaire and that I understand that Van Bergen Personeelsdiensten B.V. needs this data to provide me of (temporary) work.

I consent to process my personal data by Van Bergen Personeelsdiensten B.V. estabilshed in Hoek van Holland, Prins Hendrikweg 16 3151AE, and/or For All Seasons Packing Sp. z o.o. with the headquaters in Olsztyn, Herberta 14/23, 10-686 Olsztyn and/or Beyond Resources Sp. z o.o. with the headquaters in Olsztyn, Herberta 14/23, 10-686 Olsztyn, when needed for processing the selection procedure:

I give permission to store my data for a period of 1 year for the purpose of this application.

I have the right to give written instructions by mail to stop the recruitment process and ask to destroy my personal information

I ceritify that the information I have given is thruthfully

I grant permission to make my personal information available when needed for a (temporary) employment

When it appears during the selection that we won`t use your application your personal data will be destroyed

I accept the above conditions