Voornaam:                                                                          …………………………………………………………………………….
Achternaam:                                                                       …………………………………………………………………………….

Geboortedatum:                                                                 …………………………………………………………………………….

Adres:                                                                                  …………………………………………………………………………….

Woonplaats:                                                                       …………………………………………………………………………….

Telefoonnummer:                                                             …………………………………………………………………………….

Email adres:                                                                        …………………………………………………………………………….

Hobby:                                                                                 …………………………………………………………………………….

School/opleiding:                                                              …………………………………………………………………………….

Schooljaar:                                                                          …………………………………………………………………………….

Werkervaring (waar en wanneer) :                                                …………………………………………………………………………….

Beschikbare dagen: Weekenden/ weekenden & vakanties

………………………………………………………………………………………………………………………………………………………..

Beschikbaar vanaf

………………………………………………………………………………………………………………………………………………………..

Geplande vakantie:

……………………………………………………………………………………………………………………………………………