A sample of filling out an application for the provision of public services. Sample application for the provision of public services
The application form must be printed out and filled in by hand according to the sample.
Sample Fill
Applications-questionnaires for the provision of state services to a citizen of assistance in finding a suitable job
Application-questionnaire for the provision of state services to a citizen of assistance in finding a suitable job
I provide the following information about myself:
Citizenship: citizen of the Russian Federation
Address of residence (stay):____________________________
Trekhgorny city, Mira street, house 12 apartment 4 __ _______________
Contact phone number: ____________________________________
Name of educational institution, year of graduation: _____________________________
Vocational school No. 21 city of Yuryuzan, 1980 _______
Profession (specialty), qualification (in accordance with documents certifying professional qualifications): ___________________________
Locksmith of mechanical assembly works _______________________
_____
Knowledge of a foreign language (specify): _________________ no ____________________
computer skills: _____ user of Word, Excel __________
possession of a driver's license (specify categories): ________ "B" ________
Conditions of the last place of work: _ LLC Construction and Installation Department _
profession (specialty), qualification, position: ___ electric and gas welder, 5th grade ___________
Job Requirements:
Profession (specialty), qualification: _ electric and gas welder, 5th category _____
Locksmith of mechanical assembly works, 3rd category _ _____________________________
Position: _ electric and gas welder, mechanical assembly worker ______
I agree / do not agree to the transfer of my personal data to the employer in order to select a suitable job (underline as necessary)
on granting a citizen
state services of assistance in search
__________________________________________________________________
Full Name
__________________________________________________________________
I ask you to provide the state service of assistance in the search
__________________________________________________________________
Date of birth: 19 years old (number of completed years)
__________________________________________________________________
Citizenship
__________________________________________________________________
Address of residence (stay):
__________________________________________________________________
__________________________________________________________________
Contact phone number:
__________________________________________________________________
Education (please underline):
basic general secondary vocational
secondary (complete) general higher professional
initial vocational
__________________________________________________________________
Name of educational institution, year of graduation:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Profession (specialty), qualification (according to
with documents certifying professional qualifications)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Additional profession (specialty), qualification, position,
work experience:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Additional skills (please underline):
knowledge of a foreign language (specify) ______________________________
__________________________________________________________________
Kind of activity:
__________________________________________________________________
Type of work (please underline):
permanent job seasonal job
temporary work home work
part-time work work in another area
__________________________________________________________________
Salary (income):
__________________________________________________________________
Additional wishes:
__________________________________________________________________
__________________________________________________________________
Questionnaire on the provision of state services to a citizen of assistance in finding a suitable job
Documents required to receive the state service of assistance to citizens in finding a suitable job
For citizens who applied to the employment center for the first time:
1. Application-questionnaire for the provision of state services of assistance in finding a suitable job.
2. The application form is filled in legibly by hand, in Russian, without abbreviations and abbreviations. Answers to questions should be specific and comprehensive. The application form is certified by the personal signature of the citizen.
3. Passport of a citizen of the Russian Federation or a document replacing it - for citizens of the Russian Federation
4. Documents proving the identity and citizenship of a foreign citizen - for foreign citizens
5. Identity documents - for stateless persons.
6. Documents drawn up in a foreign language must be translated into Russian. The accuracy of the translation and the authenticity of the translator's signature must be notarized.
7. A work book or a document replacing it - except for citizens who are looking for work for the first time (who did not work before).
8. Additionally, to confirm work experience in the profession (specialty), citizens can submit employment contracts, service contracts, civil law contracts.
9. Documents certifying the professional qualifications of a citizen.
10. Citizens who are looking for a job for the first time (have not previously worked), do not have a profession (specialty), submit a document on education.
11. Certificate of average earnings for the last three months at the last place of work - except for citizens who are looking for work for the first time (who did not work before).
12. An individual program for the rehabilitation of a disabled person, issued in accordance with the established procedure, for citizens who are disabled.
Upon subsequent appeals of citizens:
1. Passport of a citizen of the Russian Federation or a document replacing it - for citizens of the Russian Federation Documents proving the identity and citizenship of a foreign citizen - for foreign citizens Identity documents - for stateless persons.
2. An individual program for the rehabilitation of a disabled person, issued in accordance with the established procedure, for citizens who are disabled.
When contacting for the first time:
1. A citizen personally applies to the district department of the employment center (CZN) at the place of residence with a package of necessary documents (waiting time - no more than 30 minutes).
2. An employee of the EPC checks the documents, makes a decision on the provision or refusal to provide a public service.
3. In case of refusal to provide a public service, the EPC employee explains the reasons, grounds for refusal, the procedure for providing a public service, draws up a decision in writing and issues it to a citizen (10 minutes).
4. In the case of the provision of a public service, an EPC employee:
5. - explains to the citizen the procedure for selecting suitable job options, taking into account the documented information contained in the application - questionnaire
6. - informs about the provisions of the "Law on employment in the Russian Federation" (5 minutes)
7. - registers a citizen in order to find a suitable job in the register of recipients of public services (employee bank)
8. - prints out the form and assigns it an individual number (5 minutes).
9. The CZN employee selects a suitable job option for a citizen on the basis of a completed form, prints out a list of vacancies, and offers it to a citizen (10 minutes).
10. The citizen chooses a suitable job option and agrees to be sent for an interview with the employer.
11. The worker of the central health center agrees by phone with the employer on the direction of a citizen for an interview, issues a referral to work (10 minutes).
12. A citizen confirms the fact of receiving public services with a signature in the form of accounting documentation.
13. CZN worker:
14. - fixes the result of the provision of public services in the register of recipients of public services (bank of employees) (2 minutes)
15. - notifies the citizen of the need to provide information on the results of the interview with the employer, submit to the CZN the issued job referral with the employer's mark (3 minutes).
16. Upon receipt of information about the negative results of the interview of a citizen with an employer
17. An employee of the EPC invites a citizen to visit the EPC to continue searching for a suitable job or to receive a referral to paid public work or temporary employment (5 minutes).
18. The CZN employee transfers the completed forms of accounting documentation to the current archive (5 minutes).
19. On subsequent calls:
20. A citizen personally applies to the employment center (CZN) with the documents necessary for subsequent applications (waiting time - no more than 30 minutes).
21. CZN worker:
22. - checks the availability of documents and makes a decision on the provision or refusal to provide a public service
23. - informs the citizen about the decision.
24. In case of refusal to provide a public service, an EPC employee:
25. - explains the reasons, grounds for refusal, the procedure for providing public services, draws up a decision in writing and issues it to a citizen (5 minutes).
26. In the case of the provision of a public service, an EPC employee:
27. - sets the search parameters for information about a citizen in the register of recipients of public services (employee bank) and finds previously filled out forms of accounting documentation that correspond to the citizen's personal data (5 minutes)
28. - finds out from the citizen the results of an interview with employers, accepts job referrals noted by employers, and, if necessary, clarifies the criteria for further search for suitable job options (5 minutes)
29. - selects a suitable job option for a citizen in accordance with the sequence of actions provided for in paragraph 2.
The maximum allowable time for providing citizens with the state service of assistance in finding a suitable job should not exceed 55 minutes, and for subsequent requests - 45 minutes.
Sample application form for providing a citizen with a state service of assistance in finding a suitable job
On the provision of certificates of the presence (absence) of a criminal record
The Information Center of the Ministry of Internal Affairs for the Republic of Karelia provides citizens with a public service for issuing certificates of the presence (absence) of a criminal record and (or) the fact of criminal prosecution or the termination of criminal prosecution in accordance with the requirements of the administrative regulation approved by order of the Ministry of Internal Affairs of the Russian Federation No. 1121 dated 07.11.2011.
Circle of applicants
Citizens of the Russian Federation
Foreign citizens
Stateless persons
Authorized Representatives
State or municipal bodies that have the right to process personal data on a criminal record within the powers granted to them in accordance with the legislation of the Russian Federation, or by virtue of granting them by applicants in the manner established by the legislation of the Russian Federation, such powers to act on their behalf when interacting with other executive bodies authorities in the provision of public services.
Methods for filing and sending applications for consideration in person
The basis for starting the provision of public services is the applicant's appeal to the Information Center of the Ministry of Internal Affairs for the Republic of Karelia.
Applicants apply:
1. Appeal in person to the Information Center of the Ministry of Internal Affairs for the Republic of Karelia.
Reception of citizens is carried out in the premises of the Center for the provision of public services at the address: Petrozavodsk, K. Marks Ave., 18 (separate entrance from K. Marks Ave.).
Days, hours of reception of citizens:
Pre-registration of citizens for filing an application and obtaining a prepared certificate by phone 715-571.
Contact numbers of the Information Center of the Ministry of Internal Affairs for the Republic of Karelia: (814-2) 71-56-75, 71-55-71
2. Appeal in person to the State Budgetary Institution of the Republic of Karelia Multifunctional center for the provision of state and municipal services of the Republic of Karelia.
G.Petrozavodsk, st. Kalinina, 1 (Business Center Yamka, 2nd floor, former OTZ plant management). Working hours: Monday-Friday - from 8:00 to 20:00 (without a break) Saturday - from 9:00 to 15:00. Sunday is a day off.
G.Kondopoga, st. Proletarskaya, 20. Schedule: Monday-Friday - from 8:00 to 20:00 Saturday - from 9:00 to 15:00.
G. Olonets, st. Field, 39. Schedule: Monday-Friday - from 9:00 to 17:00.
G. Sortavala, st. Komsomolskaya, 10. Schedule: Monday-Friday - from 9:00 to 17:00.
Kostomuksha, Lazarev Boulevard, 8. Working hours: Monday-Friday - from 9:00 to 17:00.
3. Appeal personally to the territorial body of internal affairs of the Republic of Karelia.
Applications submitted to the territorial police departments must be sent to the Information Center of the Ministry of Internal Affairs for the Republic of Karelia within 7 days from the date of registration.
4. Appeal in person through the Unified Portal of State and Municipal Services (functions) (www.gosuslugi.ru).
Required documents when applying in person:
A copy of all completed pages of an identity document for citizens of the Russian Federation - a passport of a citizen of the Russian Federation (copies of pages 2,3,5)
A copy of the power of attorney for the right to obtain a certificate of the presence (absence) of a criminal record, issued in accordance with the procedure established by the legislation of the Russian Federation (notarized), - when an application is submitted by an authorized person
A copy of a document confirming kinship or the fact of adoption (adoption), - when a legal representative (parent, adoptive parent) submits an application for issuing a certificate of the presence (absence) of a criminal record in relation to a minor who has reached the age from which criminal liability arises
A copy of the document confirming the establishment of guardianship - when the guardian submits an application for issuing a certificate of the presence (absence) of a criminal record in relation to the person under his guardianship
A copy of the document confirming the establishment of guardianship - when the guardian submits an application for issuing a certificate of the presence (absence) of a criminal record in relation to the person under his guardianship.
Appeal of state and municipal authorities:
Required documents:
List of persons subject to verification for the presence (absence) of a criminal record and (or) the fact of criminal prosecution or termination of criminal prosecution
Extract from the order of appointment or a copy of the application for employment
Or a copy of the application for registration as an individual entrepreneur of a person who intends to carry out activities to which, in accordance with the legislation of the Russian Federation, persons who have or had a criminal record, are or have been subjected to criminal prosecution are not allowed.
The term for the provision of public services
The service execution time depends on the receipt of responses to requests from the FKU SIAC of the Ministry of Internal Affairs of Russia and the IC of the regions of the Russian Federation, but does not exceed 30 days from the date of registration of the application in the Information Center.
If it is necessary to obtain additional information from other bodies, organizations and institutions, the period for consideration of the application may be extended by the head of the IC or an official replacing him, but not more than 30 days, of which the applicant is notified.
Procedure, amount and grounds for collection of state duty or other fee
The state service for issuing certificates of the presence (absence) of a criminal record and (or) the fact of criminal prosecution or the termination of criminal prosecution is provided without charging a state fee or other fee.
The result of the provision of public services
1. When contacting in person
The result of the provision of the service is the receipt by the applicant of:
Certificates of the presence (absence) of a criminal record (including canceled and withdrawn) and (or) the fact of criminal prosecution or the termination of criminal prosecution
Letters of refusal to issue a certificate of the presence (absence) of a criminal record.
Certificates are drawn up on strict reporting forms, endorsed by the executors and the head of the Information Center of the Ministry of Internal Affairs for the Republic of Karelia. Signed certificates are certified by the official seal.
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1 Application-questionnaire for providing a citizen with a state service of assistance in finding a suitable job I provide the following information about myself: Gender Date of birth: "day" month year, age (number of full years) Citizenship: Address of residence (stay): Contact phone number: Education (underline as necessary): basic general secondary (complete) general primary vocational Name of educational institution, year of graduation: secondary vocational higher professional Profession (specialty), qualification (in accordance with documents certifying professional qualifications) Main profession (specialty), qualification, position, work experience: Additional profession (specialty), qualification, position, length of service: Additional skills (underline as appropriate): knowledge of a foreign language (specify) knowledge and ability to use a PC possession of a driver’s license (specify categories) Conditions of the last place of work: profession (specialty), qualification, position, type of activity: period of work: nature of work : wages (income): Wishes to iskomo and work: Profession (specialty), qualification: Position: Type of activity:
2 Nature of work (underline as appropriate): permanent job temporary job part-time job Salary (income): Additional wishes: seasonal work home work work in another area I agree / disagree with the transfer of my personal data to the employer in order to select a suitable job (underline as necessary ) Date: "day" month year () signature of a citizen on providing the employer with a state service of assistance in the selection of necessary employees I provide the following information: Name of the legal entity / last name, first name, patronymic of an individual entrepreneur or individual Certificate of registration of a legal entity / individual entrepreneur Main state registration number: Address (location): Contact phone number, fax, e-mail address: form: Form of ownership (underline as appropriate): state municipal Type of economic activity (according to OKVED): Number of employees: Number of employees laid off since the beginning of the year:. Number of jobs: private public associations or organizations I agree / disagree to participate in active employment policy activities (underline as appropriate): job fairs and training jobs paid public works temporary employment of minors aged 14 to 18 in
3 free time from study temporary employment of unemployed citizens aged 18 to 20 from among graduates of primary and secondary vocational education institutions looking for work 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 workers places (vacant positions) (underline as appropriate): 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: “day” 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 of educational institutions of primary and secondary vocational education who are looking for a job for the first time (underline as necessary) "day" month year citizen's signature
4 I, on the provision of public services for the organization of paid public works last name, first name, patronymic, I ask to provide a public service for the organization of public works. I provide the following information about myself: Gender Date of birth: "day" month year, age (number of full years) Citizenship Address of residence (stay): Contact phone number: Education (underline as necessary): basic general secondary vocational secondary (complete) general higher vocational primary vocational Profession (specialty), qualification (in accordance with documents certifying professional qualifications) Main profession (specialty), qualification, position, work experience: Additional profession (specialty), qualification, position, work experience: Additional skills (underline as necessary ): knowledge of a foreign language (specify) knowledge and ability to use a PC possession 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 sti: Date: "day" month year. citizen's signature
5 on the provision of a public service for informing about the situation on the labor market in a constituent entity of the Russian Federation, the last name, first name, patronymic of a citizen or the name of the employer, I ask you to provide a public 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 a citizen or employer State service provided. An employee of a state institution of the employment service "day" month year. State service received. position, surname, name, patronymic signature of the employee "_" month year signature of the citizen or employer
6 on the provision of an unemployed citizen with a state service for the social adaptation of unemployed citizens in the labor market signature of an unemployed citizen
7 I am asking for the provision of a public service for vocational guidance in order to select 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 for vocational guidance in order to select a field of activity (profession), employment, professional education 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 necessary): 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 testing I for the purpose of (specify as necessary): the choice of the field of activity (profession (specialty)) employment vocational training meet the need for professional self-determination the choice of the optimal type of employment development of professional career "06" June 2009. (signature of the citizen)
8 on the provision of public services to promote the self-employment of unemployed citizens I, (last name, first name, patronymic (the last - if any) of an unemployed citizen) ask to provide me with a public service to promote self-employment of unemployed citizens in connection with: (indicate the reason) "day" month year (signature of the unemployed citizen)
9 on the provision of public 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) "day" month year (signature of an unemployed citizen)
Appendix N 7 of assisting citizens in finding a suitable job, I ask you to provide a public service to assist citizens in finding a suitable job. I provide the following information about myself: address of the place
Annex N 7 Application for the provision of public services to assist citizens in finding a suitable job, I ask you to provide a public service to assist citizens in finding a suitable job.
For applied citizens The list of documents required for the provision of public services for finding a suitable job: 1) An identity document: a) a passport of a citizen of the Russian Federation or a document
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