Faurecia Program: English

Personal Information

Part 1    Transferee Contact Information  

Last name     First name

Work phone             Work email

Home phone            Home email

Contract start date at Faurecia Fountain Inn  (month/day/year)

Contract end date (month/day/year)

Part 2    Family Information 

Please complete the following as shown in your passport

Faurecia Associate    Last name     First name

Partner/Spouse         Last name     First name

Child     Last name   First name   

            Date of birth (month/day/ year)    

            Grade in school

            Last name   First name   

            Date of birth   (month/day/ year)  

            Grade in school

            Grade in school

            Last name   First name   

            Date of birth (month/day/ year)  

            Grade in school

Please list the names of those will be relocating to the U.S.

Arrival Information

Date of Arrival  (month/day)    

Name and location of temporary accommodation

Length of stay in temporary accommodation

Real Estate 

Which housing options would you like to look at?        

Houses      Apartments      Both   

Furnished  Unfurnished      Both

Are you considering buying real estate?        Y           N

How many bedrooms would you prefer?        

1           2           3          4       Other

How many bathrooms would you prefer?        1           2           3     Other

Do you have pets?        Y           N           

 If yes, please describe                                                                         

Please list any important requests

Automobile

Which option(s) are you interested in?

Buying

Leasing

Please describe the type of automobile you are interested in

Make 

Model

Year  

Please list any additional features or requests

Language and Education

Part 1    English Level

Faurecia Associate    Level of English  (1=beginner, 5= fluent)  

                                1           2           3           4           5

Partner/ Spouse    Level of English  (1=beginner, 5= fluent) 

                                1           2           3           4           5

Part 2    School and Kindergarten (for transferees with children)

Please describe the school and/or kindergarten needs of your child(ren)