Work Placement Opportunities Form

"*" indicates required fields

File No:*

Date*

First Name:*

Middle Name:

If this is not applicable, please write N/A.

Last Name:

If this is not applicable, please write N/A.

Age:

Gender:

Male

Female

Other

Email:*

Phone:*

Address:

Street Address City ZIP / Postal Code Country

English Proficiency:

Skills:

Previous Work Experience:

Type of work preferred:

Preferred Working Hours:

Full Time

Part Time

For further assistance or clarifications, please email Miss Ellie Petrou at academicdirector@casacollege.ac.cy

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