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Microsoft Word - Rop Job Application With Availablity Front-For Fillable

The document is an application for a child care position, which includes personal information like name, address, phone number, and email as well as qualifications, languages spoken, education history, availability, work history, references, and a signature authorizing investigation of the application. The applicant's qualifications include experience as a camp counselor for 5 days with 20 children ages 6-8 and availability includes weekday evenings and weekends.

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103 views2 pages

Microsoft Word - Rop Job Application With Availablity Front-For Fillable

The document is an application for a child care position, which includes personal information like name, address, phone number, and email as well as qualifications, languages spoken, education history, availability, work history, references, and a signature authorizing investigation of the application. The applicant's qualifications include experience as a camp counselor for 5 days with 20 children ages 6-8 and availability includes weekday evenings and weekends.

Uploaded by

api-461257887
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Thao, Joshua Keith ____________________
5/21/19
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________


486 St Kevin CT
(P.O. Box or Street Number)

Merced CA 95348
_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 600-9798 ( )____________________ ____________________________


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

Position applied for:_______________________________________________________________


Child care

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


I've dealt with children from the ages of 6-8 for 5 days at a camp participating as a camp counselour. There
were about 20 kids

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


N/a

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 N/A 1 2 3 4 Not yet N/A

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

12:00- 10:00 4:00-10:00 4:00-10:00 4:00-10:00 4:00-10:00 4:00-10:00 12:00-10:00


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:
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:
________________________________________________

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.
Orlando, Gloria (209) 482-2165
Marines
________________________________________________________________________________________________________________________________

2. Alex, Martha (209) 355-9489


Teacher
________________________________________________________________________________________________________________________________

3. Moreira, Jose (209) 351-1602


Marines
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.


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

Date:_________________________Signature:_________________________________________________________________

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