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ROP APPLICATION
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Allen
Cayman
Demar Lee
Name: __________________________________________
(Last)
(First)
____________________
(Middle)
Date
Present mailing address:___________________________________________________________
309 El Portal Drive
(P.O. Box or Street Number)
Califorina
Merced
95348
_______________________________________________________________________________
(City)
(State)
( 209 ) 658 4076
(Zip Code)
kallen102870@[Link]
( N/A )____________________ ____________________________
(Alternative Telephone Number)
(Email Address)
(Telephone Number)
BusBoy
Position applied for:_______________________________________________________________
Skills and/or competencies which qualify you for this position:
Good with washing dishes
Ability to work in fast pace
Ability to complete tasks assigned to me
N/A
Languages spoken and/or written (other than English):___________________________________
Have you ever been convicted, pleaded guilty or no contest to a misdemeanor or felony?
No
Yes
If yes, explain:________________________________
Do you possess a valid California Drivers License?
No
Yes
_______________________
(Number)
RECORD OF EDUCATION
Name of School
High School
City/State
Merced High School
College/
University
Merced,CA
Course of
study or
major
Last year
completed
Did you
graduate?
Diploma
or degree
General Ed
1 2 3 4
Pending
Pending
1 2 3 4
N/A
Other
(Specify)
1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this position:
ROP Marketing
ROP Marketing, Wrestling, Boxing Pros Club, MMA Gym, USNSCC Sea Cadet
FULL TIME
AVAILABILITY
PART TIME
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
7-10
7-10
7-10
7-10
7-10
7-10
4-10
RECORD OF EMPLOYMENT: (Begin with your most recent job)
Period of Employment
From:
______
Job Title and Duties Performed
Company Name, Address, and Phone Number
Title__________________________Last Salary: _____________
_________________________________________________
Duties
_________________________________________________
N/A
_________________________________________________
To:
N/A
Mo / Yr
______
Mo/Yr
Total ____Yrs. ________Mo.
Hours Per Week:_________
Reason For Leaving:
From:
Supervisors Name:
_____________________________________________________
_________________________________________________
Title__________________________Last Salary: _____________
_________________________________________________
Duties:
_________________________________________________
N/A
_________________________________________________
To:
______
Mo/ Yr
_________________________________________________
______
N/A Mo/Yr
Total ____Yrs. ________Mo.
Hours Per Week:_________
Reason For Leaving:
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From:
To:
______
Mo /Yr
Title___________________________Last Salary: ____________
_________________________________________________
Duties:
_________________________________________________
N/A
_________________________________________________
______
N/A
Mo/Yr
Total ____Yrs. ________Mo.
Hours Per Week:_________
Reason For Leaving:
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
REFERENCES: Give the names of three persons not related to you.
Name
1.
Lisa Escobedo
Complete Address (Include City, State, Zip)
Phone
Occupation_______
205 [Link] Ave
Teacher
________________________________________________________________________________________________________________________________
2. Clayton
Schneider
204 W. Olive Ave
Coach
________________________________________________________________________________________________________________________________
3.
Chopper Mello
2121 E Childs Ave
Coach
________________________________________________________________________________________________________________________________
I authorize investigation of all statements contained in this application.
I understand that misrepresentation or omission of facts is cause for dismissal.
Date:_________________________Signature:_________________________________________________________________
Cayman Allen
N:\ROP\Charlotte Klock\ROP Forms\Forms\ROP Job Application with availbility back-for [Link]
Revised 7/10
