Jobapplication
Jobapplication
(Last)
(First)
(Middle)
Date
(City)
(209 ) 385-6480
(State)
(Telephone Number)
(Zip Code)
[email protected]
)____________________ ____________________________
(Email Address)
Spanish
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
Merced, CA
Course of
study or
major
Statistics,
Pre-Cal
College/
University
Last year
completed
Did you
graduate?
Diploma
or degree
1 2 3 4
Still
attending
In
progress
1 2 3 4
Other
(Specify)
1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this position:
VP of Public Relations in DECA, Lifetime CSF Member, yearbook staff, color guard team.
FULL TIME
AVAILABILITY
PART TIME
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
9am-5pm
3pm-7pm
3pm-7pm
3pm-7pm
3pm-7pm
3pm-10pm
9am-8pm
$10/hr
Ornament specialist
Title__________________________Last
Salary: _____________
_________________________________________________
Duties
_________________________________________________
_________________________________________________
To:
Oct '14
______
Nov '14
______
Mo / Yr
Mo/Yr
1
0
Total ____Yrs.
________Mo.
3
Hours Per Week:_________
Reason For Leaving:
seasonal
From:
Merced, CA 95348
(209)384-8737
_________________________________________________
Supervisors Name:
Keri Maciel
_____________________________________________________
_________________________________________________
_________________________________________________
Duties:
_________________________________________________
To:
______
______
Mo/ Yr
Mo/Yr
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From:
To:
______
______
Mo /Yr
Mo/Yr
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
Jonathan Schmid
Phone
Occupation_______
(209)385-6480
Director of Bands
Merced, CA 95348
________________________________________________________________________________________________________________________________
2. Eugene
Drummond
3191 G Street
(209)385-6232
Recreation Superviso
Merced, CA 95348
________________________________________________________________________________________________________________________________
3. Isaac
Medina
(209)357-7755
Atwater, CA 95301
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________