A sample application form for providing a citizen with a state service of assistance in finding a suitable job. Sample filling out an application for the provision of a public service Sample filling out an application for the provision of a public service

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1 Application-questionnaire for the provision to a citizen public service assistance in finding a suitable job I, surname, first name, patronymic, please provide the state service of assistance in finding a suitable job. I provide the following information about myself: Gender Date of birth: "date" month year, age (number of full years) Citizenship: Address of residence (stay): Contact phone number: Education (underline as required): basic general secondary (complete) general primary vocational Name educational institution, year of graduation: secondary vocational higher professional profession(specialty), qualification (in accordance with the documents certifying professional qualifications) Main profession (specialty), qualification, position, work experience: Additional profession (specialty), qualification, position, work experience: Additional skills (underline as required): knowledge of a foreign language (specify) knowledge and ability to use a PC the presence of a driver's license (specify the categories) Conditions of the last place of work: profession (specialty), qualification, position, type of activity: period of work: nature of work: salary (income): Wishes for the desired job: Profession (specialty), qualification: Position: Type of activity:

2 Nature of work (underline as appropriate): permanent work temporary work part-time work Wage(income): Additional wishes: seasonal work home work work in another locality I agree / disagree with the transfer of my personal data to the employer in order to select a suitable job (underline the necessary) Date: "date" month year () the citizen's signature on the provision of the state service to the employer in the selection of the necessary workers I am the position, name legal entity, surname, name, patronymic please provide a state service of assistance in the selection of the necessary workers. I provide the following information: Name of the legal entity / surname, name, patronymic individual entrepreneur or natural person Certificate of registration of a legal entity / individual entrepreneur Main state registration number: Address (location): Contact phone number, fax, address Email: Organizational and legal form: Form of ownership (underline as appropriate): state municipal View economic activity(according to OKVED): Number of employees: Number of employees dismissed since the beginning of the year :. Number of jobs: private public associations or organization Agree / disagree to participate in activities of active employment policy (underline as appropriate): job fairs and training jobs paid public works temporary employment of minors aged 14 to 18 years in

3 free time from study for temporary employment of unemployed citizens aged 18 to 20 years from among graduates of primary and secondary institutions vocational education, job seekers for the first time temporary employment of unemployed citizens experiencing difficulties in finding a job Please post information about the need for workers, the availability of free jobs ( vacancies) (underline the necessary): in the bank of vacancies: at the territorial level at the inter-territorial level at the federal level in the media on the Internet resources of the bodies involved in the provision of public services Date: "date" month year. M.P. position, surname, initials, signature of the employer (his representative) on the provision of public services for the organization of temporary employment from 14 to 18 years old / unemployed citizens experiencing difficulties in finding a job / unemployed citizens aged 18 to 20 years old from among graduates educational institutions primary and secondary vocational education looking for a job for the first time (underline as necessary) "date" month year citizen's signature

4 I, on the provision of public services for the organization of paid public works, surname, first name, patronymic, please provide a public service for the organization of public works. I give the following information about myself: Gender Date of birth: "date" month year, age (number of full years) Citizenship Address of residence (stay): Contact phone number: Education (underline as required): basic general secondary vocational secondary (complete) general higher vocational primary vocational Profession (specialty), qualification (in accordance with the documents certifying professional qualifications) Main profession (specialty), qualification, position, work experience: Additional profession (specialty), qualification, position, work experience: Additional skills (underline the necessary ): knowledge of a foreign language (specify) knowledge and ability to use a PC availability of a driver's license (specify categories) category Conditions of the last place of work: profession (specialty), qualification, position, type of activity: nature of work: wishes for social work: profession (specialty) , qualification: Position: Type of activity Sty: Date: "day" month year. citizen's signature

5 on the provision of public services for informing about the situation on the labor market in the entity Russian Federation surname, name, patronymic of the citizen or the name of the employer, please provide a state service for informing about the situation on the labor market in the name of the constituent entity of the Russian Federation "day" month year signature of the citizen or employer The state service is provided. Employee of the state institution of the employment service "day" month year. Government service received. position, surname, name, patronymic signature of the employee "_" month year signature of the citizen or employer

6 on the provision of a state service to an unemployed citizen for the social adaptation of unemployed citizens in the labor market I, surname, name, patronymic of an unemployed citizen, please provide me with a state service for the social adaptation of unemployed citizens in the labor market in connection with indicating the reason "date" month of the year. unemployed citizen's signature

7 I am asking about the provision of a state service on vocational guidance in order to choose a field of activity (profession), employment, vocational training (last name, first name, patronymic of a citizen), I ask you to provide me with a state service on vocational guidance in order to choose a field of activity (profession), employment, professional study in connection with (specify the reason) I provide the following information about myself: Date of birth: age (number of full years) gender Citizenship Address of residence (stay): Contact phone number: Education (underline as required): basic general secondary (complete) general primary professional Name of educational institution, year of graduation: secondary vocational higher professional Profession (specialty), qualification Main profession (specialty), qualification, position, work experience: Additional profession (specialty), qualification, position, work experience: Agree / disagree to conduct testing I with the aim (specify as necessary): the choice of the field of activity (profession (specialty)) employment vocational training to meet the need for professional self-determination of the choice of the optimal type of employment development of professional career "06" June 2009. (citizen's signature)

8 on the provision of a public service to promote self-employment of unemployed citizens I, (last name, first name, patronymic (last name - if any) of an unemployed citizen), I ask you to provide me with a public service to promote self-employment of unemployed citizens in connection with: (indicate the reason) "date" month year (signature of an unemployed citizen)

9 on the provision of state services for psychological support of unemployed citizens I, (last name, first name, patronymic of an unemployed citizen), ask to provide me with a state service for psychological support of unemployed citizens in connection with: (indicate the reason) "date" month year (signature of an unemployed citizen)


Appendix N 7 assistance to citizens in finding a suitable job I ask you to provide a state service to assist citizens in finding a suitable job. I provide the following information about myself: address of the place

Appendix N 7 Application for the provision of a state service to assist citizens in finding a suitable job I ask you to provide a state service to assist citizens in finding a suitable job.

For citizens who have applied for the list of documents required for the provision of state services for finding a suitable job: 1) Identity document: a) passport of a citizen of the Russian Federation or a document,

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