ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Guerrero Christian Saul ____________________
May 15, 2019
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

546 W Donna Dr.
(P.O. Box or Street Number)

Merced California 95340

_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 276-4858 ( )____________________ ____________________________

[email protected]
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Firefighter

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

I have effective communication skills, integrity, composure and a reassuring manner, confidence and
reslilience, adaptability and flexibility, sound judgement, courage, decisiveness, quick reaction and the
ability too stay calm in difficult circumstances.

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 Driver’s License?

‰ No ‰ Yes _______________________
(Number)

RECORD OF EDUCATION
Course of
study or Last year Did you Diploma
Name of School City/State major completed graduate? or degree
High School Merced High School Merced, Ca 1 2 3 4

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
I was a Football player, I am a PAL I work with special needs children(Peer Assistant Learning). I also work part
time at a Tire Shop.

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

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

Period of Employment Job Title and Duties Performed Company Name, Address, and Phone Number
From: To:
Tire & Wheel Expert
Title__________________________Last $160
Salary: _____________
Nacho's Tire Shop #2
_________________________________________________
6/16
______ Present
______
Mo / Yr Mo/Yr
Duties
1491 Atwater blvd.
_________________________________________________
2
Total ____Yrs. 5
________Mo.
Swap tires, Fix damaged tires & wheels, Change (209)722-0133
_________________________________________________
18
Hours Per Week:_________ brakes and rotores, Oil changes, shop
Reason For Leaving: _________________________________________________
maintenance.
Supervisor’s Name: _________________________________________________
Victor Cortez
_____________________________________________________

From: To:
Title__________________________Last Salary: _____________ _________________________________________________
______ ______
Mo/ Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

_________________________________________________
Supervisor’s Name:
________________________________________________

From: To:
Title___________________________Last Salary: ____________ _________________________________________________
______ ______
Mo /Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

_________________________________________________
Supervisor’s Name:
________________________________________________

REFERENCES: Give the names of three persons not related to you.

Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
Ignacio Garcia 55 W 16th St. (209)777-4591
Tire Shop owner
Merced Ca. 95340
________________________________________________________________________________________________________________________________

2. Elena Garcia 1491 Atwater Blvd. (209)202

Atwater Ca. 95301

________________________________________________________________________________________________________________________________

3.

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________