Job Application
Job Application
(Last)
(First)
4/15/2015
____________________
(Middle)
Date
(City)
(State)
(209 ) 500-8660
(Telephone Number)
(Zip Code)
[email protected]
)____________________ ____________________________
(Email Address)
None
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
Merced High
City/State
Course of
study or
major
Merced California
College/
University
Last year
completed
Did you
graduate?
Diploma
or degree
1 2 3 4
Yes
Yes
1 2 3 4
Other
(Specify)
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
7 per hour
Farm Hand
Title__________________________Last
Salary: _____________
_________________________________________________
Duties
_________________________________________________
To:
10/14
______
1/15
______
Mo / Yr
Mo/Yr
3
0
Total ____Yrs.
________Mo.
12-16
Hours Per Week:_________
Reason For Leaving:
From:
_________________________________________________
_________________________________________________
Supervisors Name:
Hunter Phillips
_____________________________________________________
_________________________________________________
_________________________________________________
Duties:
_________________________________________________
To:
______
______
Mo/ Yr
Mo/Yr
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From:
To:
______
______
Mo /Yr
Mo/Yr
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
Joshua Ducette
Phone
Occupation_______
________________________________________________________________________________________________________________________________
2. James
Garezell
________________________________________________________________________________________________________________________________
3. Michael
Phillips
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________