Scribd
Upload
26 views

Rop Job Application With Availability - Fillable For Website

This document is a job application for a nursing internship. It contains personal information about the applicant such as name, address, phone number, and email. It also lists the applicant's education history at Merced High School and indicates they will graduate in June. Relevant skills listed are communications, working well with others, and enjoying helping others. References and availability are also provided. The applicant is seeking part time work and has previous experience babysitting.

Uploaded by

api-283761919
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
26 views

Rop Job Application With Availability - Fillable For Website

This document is a job application for a nursing internship. It contains personal information about the applicant such as name, address, phone number, and email. It also lists the applicant's education history at Merced High School and indicates they will graduate in June. Relevant skills listed are communications, working well with others, and enjoying helping others. References and availability are also provided. The applicant is seeking part time work and has previous experience babysitting.

Uploaded by

api-283761919
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

ROP APPLICATION

Directions: Please Print Legibly


Reyna
Jaylen
Amber
Name: __________________________________________

(Last)

(First)

05/11/15
____________________

(Middle)

Date

1230 Paseo Redondo Dr,


Present mailing address:___________________________________________________________

(P.O. Box or Street Number)


CA
Merced
95348
_______________________________________________________________________________

(City)

(209 ) 631-7597

(State)

(Telephone Number)

(Zip Code)

[email protected]
)____________________ ____________________________

(Alternative Telephone Number)

(Email Address)

Position applied for:_______________________________________________________________


Nusring Internship
Skills and/or competencies which qualify you for this position:
Communications skills, working well with others, enjoy helping others.

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

_______________________
F5134442
(Number)

RECORD OF EDUCATION

Name of School
High School

City/State

Merced High School

Course of
study or
major

Last year
completed

Did you
graduate?

Biology

1 2 3 4

will
graduate
JU

CA

College/
University

1 2 3 4

Other
(Specify)

Diploma
or degree

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Link Crew

FULL TIME

AVAILABILITY
SUNDAY

PART TIME

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

Mornings

Mornings

Mornings

Mornings

Mornings

SATURDAY

RECORD OF EMPLOYMENT: (Begin with your most recent job)


Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

Babysitter
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

Care for kids.

_________________________________________________

To:

2013
______

Present
______

Mo / Yr

Mo/Yr

Total ____Yrs. ________Mo.


Hours Per Week:_________
Reason For Leaving:

From:

Aquino House, 1365 Augusta Ct. (209) 756-4353

_________________________________________________
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
1.

Cristyn Aquino

Complete Address (Include City, State, Zip)

1365 Augusta Ct, Merced, CA 95348

Phone

Occupation_______

209-756-4353
Secretary

________________________________________________________________________________________________________________________________
2. Curtis

Boyenga

1333 Nutcracker Ct. Atwater, CA 95301

209-631-6858
Teacher

________________________________________________________________________________________________________________________________
3. Maria

McCleskey

1003 El Portal Dr. Merced, CA 95348

209-628-3397
Company secretary

________________________________________________________________________________________________________________________________

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