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Rop Job Application With Availability - Fillable For Website

Julia Beale has applied for an internship in the genetics office. She has extensive lab experience from multiple genetics classes and is able to easily set up lab experiments. Beale is also well-adapted to working in groups and is respectful and punctual. She speaks Spanish and does not have a criminal record. Beale is currently a senior at Merced High School and will be available full time on weekends and weekday afternoons for the internship. She provided three references including her biology teacher Candy Mucci.

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62 views

Rop Job Application With Availability - Fillable For Website

Julia Beale has applied for an internship in the genetics office. She has extensive lab experience from multiple genetics classes and is able to easily set up lab experiments. Beale is also well-adapted to working in groups and is respectful and punctual. She speaks Spanish and does not have a criminal record. Beale is currently a senior at Merced High School and will be available full time on weekends and weekday afternoons for the internship. She provided three references including her biology teacher Candy Mucci.

Uploaded by

api-315210354
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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ROP APPLICATION
Directions: Please Print Legibly
Beale
Julia
Margarita
Name: __________________________________________

(Last)

(First)

4/16/16
____________________

(Middle)

Date

1849 Salem Court


Present mailing address:___________________________________________________________

(P.O. Box or Street Number)


California
95348
Merced
_______________________________________________________________________________

(City)

(State)

( 209 ) 6177460

(Zip Code)

[email protected]
7220499
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

internship in the genetics office


Position applied for:_______________________________________________________________

Skills and/or competencies which qualify you for this position:


I have a great deal of lab experience. I have taken multiple classes that include genetics, and I am able to
set up lab experiments with ease. Not only this, but I am very well adapted to working with in groups . I am
also very respectful of my superiors and am always on time.

Languages spoken and/or written (other than English):___________________________________


Spanish
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

_______________________
(Number)

RECORD OF EDUCATION

High School

Name of School

City/State

Merced High School

Merced/California

Course of
study or
major

College/
University

Last year
completed
1 2 3 4

Did you
graduate?

Diploma
or degree

not yet

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

All day

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

PART TIME

SATURDAY

3:00PM-10:00PM
3:00PM-10:00PM
3:00PM-10:00PM 3:00PM-10:00PM
3:00PM-10:00PM
All day

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


Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

Title__________________________Last Salary: _____________

_________________________________________________

Duties

_________________________________________________

To:

______

______

Mo / Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________
Hours Per Week:_________
Reason For Leaving:

From:

_________________________________________________
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.

Stephen Eccles

Complete Address (Include City, State, Zip)

205 W Olive Ave, Merced, CA 95348

Phone

2092017447

Occupation_______

Marine Biology/ Biology te

________________________________________________________________________________________________________________________________
2. Candy

Mucci

205 W Olive Ave, Merced, CA 95348

2093858316
Teacher

________________________________________________________________________________________________________________________________
3.

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.


I understand that misrepresentation or omission of facts is cause for dismissal.

4/16/2016

Date:_________________________Signature:_________________________________________________________________

N:\ROP\Charlotte Klock\ROP Forms\Forms\ROP Job Application with availbility back-for fillable.rtf

Revised 7/10

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