WWW Mcoe Org Deptprog Career Rop Documents Rop Job Application With Availability - Fillable For Website
WWW Mcoe Org Deptprog Career Rop Documents Rop Job Application With Availability - Fillable For Website
(Last)
(First)
April 30,2015
____________________
(Middle)
Date
737 R street
Present mailing address:___________________________________________________________
(City)
(State)
(209 ) 325-5615
(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:________________________________
N/A
Yes
_______________________
N/A
(Number)
RECORD OF EDUCATION
Name of School
High School
City/State
Merced, CA
Course of
study or
major
Last year
completed
Did you
graduate?
Diploma
or degree
High School
1 2 3 4
Pending
2015
Diploma
2015
College/
University
N/A
1 2 3 4
Other
(Specify)
N/A
1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this position:
FULL TIME
AVAILABILITY
PART TIME
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
opening-9pm
4pm-9pm
4pm-9pm
4pm-9pm
4pm-9pm
4pm-9pm
openin-closing
_________________________________________________
Duties
_________________________________________________
To:
______
______
Mo / Yr
Mo/Yr
N/A
_________________________________________________
From:
_________________________________________________
Supervisors Name:
_____________________________________________________
_________________________________________________
_________________________________________________
Duties:
_________________________________________________
To:
______
______
Mo/ Yr
Mo/Yr
N/A
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From:
To:
______
______
Mo /Yr
Mo/Yr
_________________________________________________
Duties:
_________________________________________________
N/A
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
Andrea De Leon
Phone
Occupation_______
(209) 385-6465
________________________________________________________________________________________________________________________________
2. Blia
Yang
(209)385-6465
________________________________________________________________________________________________________________________________
3. Denice
Weaver
(209)385-6465
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________