Rop Job Application With Availability Fillable For Website
Rop Job Application With Availability Fillable For Website
(Last)
(First)
02/8/16
____________________
(Middle)
Date
(City)
(State)
( 209 ) 6284611
(Zip Code)
[email protected]
7224553
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)
(Telephone Number)
Deputy Sheriff
Position applied for:_______________________________________________________________
Yes
If yes, explain:________________________________
weapon possession in high school.
Yes
_______________________
(Number)
RECORD OF EDUCATION
High School
Name of School
City/State
Course of
study or
major
Merced Ca.
GED
College/
University
Last year
completed
1 2 3 4
Did you
graduate?
Diploma
or degree
yes
HIgh
School
Diploma
1 2 3 4
Other
(Specify)
1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this position:
I took FFA for all four years.
AVAILABILITY
SUNDAY
4:00 - 4:00
MONDAY
4:00 -4:00
TUESDAY
4:00 - 4:00
WEDNESDAY
4:00 - 4:00
FULL TIME
PART TIME
THURSDAY
4:00 - 4:00
FRIDAY
4:00 - 4:00
SATURDAY
4:00 - 4:00
_________________________________________________
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:
________________________________________________
_________________________________________________
Phone
Occupation_______
1.
Kevin Rocha
(209)-564-6116
Truck Driver
________________________________________________________________________________________________________________________________
2.
________________________________________________________________________________________________________________________________
3.
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________
Revised 7/10