Info Sheet

Plese send us in one PDF Document (coloured and readable):

1. 
   
   
   
   Valid Passport
   
2. 
   Signed Permit which allows us to send aCopy of your Passport to the Government agency.
   
3. 
   Certificate of study in German or English languague
   
4. 
   Filled Form „Declaration of Certificate of Enrolment“
   
5. 
   Filled and signed Form of Authorization/ Labora GmbH
   
6. 
   Information about Health Insurance while your Stay in Germany
   

Application Form

Mr.

Ms.

Other

Student

Personal Information
Forename/First Name:		Birth Name:
Surname/Last Name:		Birth Date:
Street & Number:		Birthplace:
Postal Code & City:		Nationality:
Mobile Number:		Marital Status:
Whatsapp Number:
E-Mail Address:
Health Insurance Comp.:

Education & other information
Type of School	Name of School	Location	Nr. of years completed
College
High School

	Yes	No	other
Would you like to work full time?
What languages can you?
when do you have your semester break?
in which period would you like to work with us? (Example: from 01 June to 23 September)
Have you worked with us (Labora) before?

Health
	Yes	No
Are you ready to do extra work?
Have you applied for a cure/treatment?			Which?
Are you a recognized severly disabled person?			Degree in %:
Did you have medical check-ups?
Are you covered by health insurance?

My information is true, which I confirm by my signature.

I am aware that false information justifies dismissal without notice.
I hereby grant the consent required in accordance with Section 33, paragraph 1 of the Bundesdatenschutzgesetz for the processing of the personal data given on my person. I also agree that my data can also be sent to companies that Labora works with.

Date:

Place:

Signature:

Hiermit bevollmächtige ich die Firma, Bevollmächtigter:
Vollmacht

Firma:
Vorname, Name: Anschrift:
Labora GmbH


Rüdiger Grünbauer Martin-Luther-Platz 6, DE 91522 Ansbach

meine Antragstellung zur Ferienbeschäftigung zu erledigen. Vollmachtgeber:

Vorname, Name: Anschrift: Geburtsdatum:


Einverständniserklärung
Ich erkläre hiermit mein Einverständnis, dass die oben genannte Person eine Bevollmächtigung zur Antragstellung und eben den Erhalt entsprechender Genehmigungsdokumente für meine Person erhält.
Grund der Antragstellung: Meine Ferienbeschäftigung als ausländische/r Studierende/r.






^{(Datum, Unterschrift Vollmachtgeber)} (Firmenstempel)