Rop Application
Rop Application
(Last)
(First)
4-10-16
____________________
(Middle)
Date
(City)
(209 ) 233-4589
(Telephone Number)
(State)
(Zip Code)
[email protected]
261-6393
( 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
_______________________
(Number)
RECORD OF EDUCATION
Name of School
High School
Course of
study or
major
City/State
CA
College/
University
Last year
completed
Did you
graduate?
Diploma
or degree
1 2 3 4
yes
Diploma
1 2 3 4
Other
(Specify)
1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this position:
LINK, MECHA, volunteered to feed the homeless, tutored 5th graders with low reaading levels
FULL TIME
AVAILABILITY
PART TIME
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
8am-3pm
4-8
4-8
4-8
4-8
4-12
available
Teller
Title__________________________Last
Salary: _____________
_________________________________________________
Duties
_________________________________________________
To:
06/15
______
______
Mo / Yr
Mo/Yr
(209)383-5550
_________________________________________________
Hours Per Week:_________
Reason For Leaving:
still employed
From:
_________________________________________________
Supervisors Name:
Annie Ballard
_____________________________________________________
_________________________________________________
Title__________________________Last
Salary: _____________
Cashier
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
To:
03/16
______
______
Mo/ Yr
Mo/Yr
McDonald's
_________________________________________________
Still employed
_________________________________________________
Supervisors Name:
________________________________________________
From:
To:
______
______
Mo /Yr
Mo/Yr
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
Eleesia Zepeda
Phone
Occupation_______
383-5550
Teller
________________________________________________________________________________________________________________________________
2. Annie
Ballard
________________________________________________________________________________________________________________________________
3. Yenia
Gamino
756-6677
Store Mananger
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________