What is your first name? *
What is your full last name as written on your ID card? *
What is your marital state? *
Personal number (BSN) *
In which city were you born? *
In which country where you born? *
Date of birth *
What is your current address? *
In which country do you live now? *
What is your postal code? *
In which city do you live? *
Mobile phone number *
E-mail address *
Where do you want to work?
What kind of work do you prefer to do?
How many km are you prepared to travel for your work?
0 to 10 km11 to 20 km21 to 50 km51 to 100 kmMore than 100 km
Do you already have experience for that?
No, but I would like to learnYes, but less than a yearYes, 1 to 5 yearsYes, longer than 5 years
Do you have a VCA?
Yes, fullYes, basisI Had.. but expired unfortunatelyNo, and it is not applicableno, what is that?
Do you have a driver's licence? *
Yes, licence BYes, licence B+ENoAlmost! I already startedI also have licence CI also have licence C+E
Do you have your own transport? *
Yes, a carJa, een moped/scooterYes, a bicycleNo, I have to walk
Upload your CV
Where does your salary have to go?
What do you want to earn gross per hour? *
What is your IBAN nummer? *
Your IBAN one more time for a check-up! *
Name on your debit card *
Just checking your identification
What kind of identification do you have? *
Dutch PassportDutch Identity cardEuropean PassportEuropean Identity cardResidence permit (I am allowed to work in the Netherlands)
Document number *
Expiration date *
Upload a photo of the front here *
Upload a photo of the back here *
Just a few questions
Apply payroll tax? *
YesNoI don't know what that is..
Did you participate in the StiPP pension scheme in the last 52 weeks? *
NoYes, I participated in the basic regulation in the last 52 weeksYes, I participated in the plus regulation in the last 26 weeksYes, I participated longer than 26 weeks in the plus regulation
How many weeks was the duration of your StiPP regulation? *
Are you receiving, or did you receive a benefit in the last 3 months? *
NoYes, Wajong benefitYes, Unemployment benefitsYes, Invalidity benefit (WIA)Yes, Welfare benefitYes, a different benefit
In reference to the law on privacy
Yes, you can keep my data for 12 months and use it to make me offers*
How end up with us? *
Via FacebookVia IndeedVia an acquaintanceI was approached by youI saw and advertisement in a different placeI saw you at a job fairIn a different way