Https Doc-0k-1k-Apps-Viewer Googleusercontent
Https Doc-0k-1k-Apps-Viewer Googleusercontent
(Last)
(First)
4-24-15
____________________
(Middle)
Date
(City)
(State)
(920 ) 843-3570
(Telephone Number)
(Zip Code)
[email protected]
)____________________ ____________________________
(Email Address)
Hmong
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:________________________________
Yes
_______________________
(Number)
RECORD OF EDUCATION
Name of School
High School
City/State
Course of
study or
major
Last year
completed
Did you
graduate?
Diploma
or degree
Merced High
Merced / CA
HS Diploma
1 2 3 4
Yes
Diploma
College/
University
Merced College
Merced / CA
Criminal
Justice
1 2 3 4
Still
pending
Degree
Other
(Specify)
N/A
1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this position:
FULL TIME
AVAILABILITY
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
PART TIME
THURSDAY
FRIDAY
SATURDAY
$ 108.00
Counter Helper
Title__________________________Last
Salary: _____________
_________________________________________________
Duties
_________________________________________________
_________________________________________________
To:
11-19-14
______
2-18-15
______
Mo / Yr
Mo/Yr
3
Total ____Yrs. ________Mo.
From:
Company : Coldstone
_________________________________________________
Supervisors Name:
Mike
_____________________________________________________
_________________________________________________
_________________________________________________
Duties:
_________________________________________________
To:
______
______
Mo/ Yr
Mo/Yr
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From:
To:
______
______
Mo /Yr
Mo/Yr
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
Rebecca Rodriguez
Lincoln
Phone
Occupation_______
(209) 381-5916
MCOE YOP/ Empow
________________________________________________________________________________________________________________________________
2. Jacquie
Mallory
(209) 580-4766
Staff in the Cafeteria
________________________________________________________________________________________________________________________________
3.
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________