Voir des exemples de documents demandés ci-dessous

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Marvin Taylor
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1 INSTRUCTIONS POUR VOYAGER AU CÔTE-D'IVOIRE Cher Frère / Sœur, S'il vus plaît lire attentivement les instructins pur vyager. Afin d'btenir vtre permis de travail pur servir en Côte-d'Ivire, s'il vus plaît cllecter et envyer ces dcuments et nus: Page de Renseignements du Passeprt Phts de Frmat Passeprt Rapprt de Plice Original Sclaires Certificats-cpies Séminaire / Institut Certificats - Cpies en culeur Ordinatin Certificat Prêtrise - Cpies en culeur Résumé Cpie d appelle - Cpies en culeur Frmulaire de visa de transit des États-Unis. Si vus avez déjà un visa pur entrer aux États-Unis, envyez-mi une pht et ne remplissez pas ce frmulaire. Ces dcuments divent être envyés au mins 4 semaines après avir reçu sn appel en missin. S'il vus plaît les remettre à: pablrafael.perezrdriguez@ldschurch.rg Si vus avez besin d'aide u avez des questins, s'il vus plaît appelez u par curriel à pablrafael.perezrdriguez@ldschurch.rg Vir des exemples de dcuments demandés ci-dessus

16 Persnal, Address, Phne, and Passprt / Travel Dcument Infrmatin Name Prvided: Other Names Used: Sex: FEMALE / MALE Marital Status: Date f Birth: Place f Birth: Cuntry/Regin f Origin (Natinality): D yu hld r have yu held any natinality ther than the ne indicated abve n natinality? YES / NO, IF YES PLEASE EXPLAIN Are yu a permanent resident f a cuntry/regin ther than yur cuntry/regin f rigin (natinality) abve? YES /NO, IF YES PLEASE EXPLAIN Natinal Identificatin Number: U.S. Scial Security Number: U.S. Taxpayer ID Number: Hme Address: City: State/Prvince: Pstal Zne/ZIP Cde: Cuntry/Regin: Same Mailing Address? Primary Phne Number: Secndary Phne Number: Wrk Phne Number: Address: Have yu ever lst a passprt r had ne stlen? YES / NO, IF YES PLEASE EXPLAIN Have yu ever been in the U.S.? YES / NO, IF YES PLEASE EXPLAIN Have yu ever been issued a U.S. visa? YES / NO, IF YES PLEASE EXPLAIN Have yu ever been refused a U.S. Visa, r been refused admissin t the United States, r withdrawn yur applicatin fr admissin at the prt f entry? YES / NO, IF YES PLEASE EXPLAIN Has anyne ever filed an immigrant petitin n yur behalf with the United States Citizenship and Immigratin Services? YES / NO, IF YES PLEASE EXPLAIN Family Infrmatin Father's Surnames: Father's Given Names: Father's Date f Birth: Is yur father in the U.S.? Mther's Surnames: Mther's Given Names: Mther's Date f Birth: Is yur mther in the U.S.? D yu have any immediate relatives, nt including parents in the U.S.? YES / NO, IF YES PLEASE EXPLAIN D yu have any ther relatives in the United States? YES / NO, IF YES PLEASE EXPLAIN Wrk/Educatin/Training Infrmatin Primary Occupatin: NOT EMPLOYED / STUDENT / WORKING Explain: Were yu previusly emplyed? Emplyer Name: Emplyer Address: City: State/Prvince: Pstal Zne/Zip Cde: Cuntry/Regin: Telephne Number: Jb Title: Supervisr's Surname: Supervisr's Given Name:

Emplyment Date Frm: Emplyment Date T: Briefly describe yur duties: Mnthly Incme: Have yu attended any educatinal institutins at a secndary level r abve?

17 Emplyment Date Frm: Emplyment Date T: Briefly describe yur duties: Mnthly Incme: Have yu attended any educatinal institutins at a secndary level r abve? Name f Institutin (1): Address f Institutin: City: State/Prvince: Pstal Zne/ZIP Cde: Cuntry/Regin: Curse f Study: Date f Attendance Frm: Date f Attendance T: D yu belng t a clan r tribe? Prvide a List f Languages Yu Speak: Security and Backgrund Infrmatin Have yu traveled t any cuntries/regins within the last five years? Have yu belnged t, cntributed t, r wrked fr any prfessinal scial, r charitable rganizatin? D yu have any specialized skills r training, such as firearms explsives, nuclear, bilgical, r chemical experience? Have yu ever served in the military? Have yu ever served in, been a member f, r been invlved with a paramilitary unit, vigilante unit, rebel grup, guerrilla grup, r insurgent rganizatin? D yu have a mental r physical disrder that pses r is likely t pse a threat t the safety r welfare f yurself r thers? YES / NO, IF YES PLEASE EXPLAIN Are yu r have yu ever been a drug abuser r addict? YES / NO, IF YES PLEASE EXPLAIN Have yu ever been arrested r cnvicted fr any ffense r crime, even thugh subject f a pardn, amnesty, r ther similar actin? YES / NO, IF YES PLEASE EXPLAIN Electrnic picture like this sample

Student Name: Application for Employment-Based Field Practicum. DEPARTMENT of SOCIAL WORK

Student Name: Application for Employment-Based Field Practicum. DEPARTMENT of SOCIAL WORK DEPARTMENT f SOCIAL WORK Student Name: Applicatin fr Emplyment-Based Field Practicum Directins: The field educatin prcess is a partnership invlving the scial wrk prgram, field educatin Prgram, scial wrk