Rop Job Application With Availability - Fillable For Website
Rop Job Application With Availability - Fillable For Website
(Last)
(First)
(Middle)
Date
(City)
(State)
(Zip Code)
[email protected]
628- 9211
( 209 )____________________
____________________________
(Alternative Telephone Number)
(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
_______________________
G763478
(Number)
RECORD OF EDUCATION
Name of School
High School
City/State
Course of
study or
major
Last year
completed
Did you
graduate?
Diploma
or degree
N/A
1 2 3 4
yes
diploma
Merced, CA
College/
University
1 2 3 4
Other
(Specify)
1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this position:
Entering and winning writing contests, writing club, poem club, AVID
FULL TIME
AVAILABILITY
SUNDAY
9am- 9pm
MONDAY
TUESDAY
WEDNESDAY
4:00- 9:00
PART TIME
THURSDAY
FRIDAY
SATURDAY
9am- 9pm
_________________________________________________
Duties
_________________________________________________
To:
______
______
Mo / Yr
Mo/Yr
_________________________________________________
Hours Per Week:_________
Reason For Leaving:
From:
_________________________________________________
Supervisors Name:
_____________________________________________________
_________________________________________________
_________________________________________________
Duties:
_________________________________________________
To:
______
______
Mo/ Yr
Mo/Yr
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From:
To:
______
______
Mo /Yr
Mo/Yr
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
Name
Nancy Garcia
Phone
Occupation_______
________________________________________________________________________________________________________________________________
2. Timithoy
Adams
(209) 777-7975
Journlist
________________________________________________________________________________________________________________________________
3.
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________