Rop Job Application With Availability - Fillable For Website
Rop Job Application With Availability - Fillable For Website
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ROP APPLICATION
Directions: Please Print Legibly
Rafael Eduardo
Bacay
Name: Lintao
__________________________________________
(Last)
(First)
5/3/15
____________________
(Middle)
Date
(City)
(State)
(209 ) 723-5493
)____________________ [email protected]
____________________________
(Telephone Number)
(Zip Code)
(Email Address)
Audio Engineer
Position applied for:_______________________________________________________________
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
_______________________
(Number)
RECORD OF EDUCATION
Name of School
Course of
study or
major
City/State
Last year
completed
High School
Did you
graduate?
Diploma
or degree
Pending
Diploma
N/A
N/A
N/A
N/A
1 2 3 4
Merced, CA
N/A
N/A
N/A
N/A
N/A
N/A
N/A
College/
University
1 2 3 4
Other
(Specify)
1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this position:
Leadership, KIWINS, Track & Field, Cross Country
FULL TIME
AVAILABILITY
PART TIME
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Commissioner of Tech
$0.00
Title__________________________Last
Salary: _____________
Leadership
_________________________________________________
Duties
205
W Olive Ave, Merced, CA 95348
_________________________________________________
To:
06/2014
______
06/2015
______
Mo / Yr
Mo/Yr
Total 1
____Yrs. ________Mo.
5
Hours Per Week:_________
Reason For Leaving:
(209)
385-6465
_________________________________________________
_________________________________________________
Graduating
Supervisors Name:
Haydee, Arreola
_____________________________________________________
From:
To:
04/2015
______
04/2015
______
Mo/ Yr
Mo/Yr
0
Total ____Yrs.
________Mo.
40
Hours Per Week:_________
Reason For Leaving:
_________________________________________________
$40.00
Title__________________________Last
Salary: _____________
Babysitter
Delpar
Diolazo
_________________________________________________
Duties:
3169
M St, Merced, CA 95348
_________________________________________________
(209)
722-6231
_________________________________________________
_________________________________________________
School
_________________________________________________
Supervisors Name:
Delpar
________________________________________________
From:
To:
12/2014
______
12/2014
______
Mo /Yr
Mo/Yr
0
0
Total ____Yrs.
________Mo.
$20
Server
Title___________________________Last
Salary: ____________
St.
Patrick's Asian Association
_________________________________________________
Duties:
671
E Yosemite Ave, Merced, CA 95340
_________________________________________________
(209)
383-3924
_________________________________________________
16
Hours Per Week:_________
Reason For Leaving:
_________________________________________________
_________________________________________________
Phone
Occupation_______
Jay McElroy
(209) 385-6465
Teacher
________________________________________________________________________________________________________________________________
2.
(209) 385-6465
Haydee Arreola
Teacher
________________________________________________________________________________________________________________________________
3.
Aroura Alamillo
(209) 385-6465
Teacher
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________
Revised 7/10