WerkXYZ outplacement in 3 stappen naar een baan
WerkXYZ outplacement in 3 stappen naar een baan

Introduction form

Please fill out the form as completely as possible. Leave the questions that you cannot answer or that do not apply blank.
Your information will of course be treated confidentially.

Last name

Address

Phone number

Phone number mobile

Emailadress

Date of birth

Place of birth

Nationality

Marital status

Childeren

Age of children

Number of residents

Name of current position

Fulltime of parttime 

Number of hours

Shift work

Department/location 

Name of manager

Date entry into service

Number of years

Driving license

Diploma

Education

Employers

Number of years

Launguages speaking reading and writing

Hobbies and other activities

What activities does your position consist of?

What are your tasks and responsiblities?

What are your wishes for the future

Are there any topics you would like to discuss?

First name

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