Scribd
Upload
69 views

Franki The Fool

Frankie Rivas has applied for a nurse position. They have experience in welding and speak Spanish. They graduated from Merced High School in Merced, California and have availability most days of the week. Their most recent job was as a nurse where they worked full time with steady hands. They provide three references to contact.

Uploaded by

api-284297807
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
69 views

Franki The Fool

Frankie Rivas has applied for a nurse position. They have experience in welding and speak Spanish. They graduated from Merced High School in Merced, California and have availability most days of the week. Their most recent job was as a nurse where they worked full time with steady hands. They provide three references to contact.

Uploaded by

api-284297807
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

ROP APPLICATION

Directions: Please Print Legibly


Rivas
Frankie
Alexi
Name: __________________________________________

(Last)

(First)

5/7/15
____________________

(Middle)

Date

777 tranquility lane


Present mailing address:___________________________________________________________

(P.O. Box or Street Number)


California
los angeles
94284
_______________________________________________________________________________

(City)

(State)

(Telephone Number)

(Zip Code)

)____________________ ____________________________

(Alternative Telephone Number)

(Email Address)

Position applied for:_______________________________________________________________


nurse
Skills and/or competencies which qualify you for this position:
welding, steady hands

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:________________________________

Do you possess a valid California Drivers License?


No

Yes

_______________________
(Number)

RECORD OF EDUCATION

Name of School
High School

Course of
study or
major

City/State

merced high

merced california

College/
University

Last year
completed

Did you
graduate?

1 2 3 4

jes

Diploma
or degree

1 2 3 4

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
youth group,

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

no

yes

yes

yes

yes

yes

no

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

_________________________________________________

To:

______

______

Mo / Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________
Hours Per Week:_________
Reason For Leaving:

From:

_________________________________________________
Supervisors Name:
_____________________________________________________

_________________________________________________

Title__________________________Last Salary: _____________

_________________________________________________

Duties:

_________________________________________________

To:

______

______

Mo/ Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________


Reason For Leaving:

_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________

From:

To:

______

______

Mo /Yr

Mo/Yr

Title___________________________Last Salary: ____________

_________________________________________________

Duties:

_________________________________________________

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________


Reason For Leaving:

_________________________________________________

Supervisors Name:
________________________________________________

_________________________________________________

REFERENCES: Give the names of three persons not related to you.


Name

Complete Address (Include City, State, Zip)

Phone

Occupation_______

1.

________________________________________________________________________________________________________________________________
2.

________________________________________________________________________________________________________________________________
3.

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.


I understand that misrepresentation or omission of facts is cause for dismissal.

Date:_________________________Signature:_________________________________________________________________

You might also like