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Rop Application SR

Samantha Roberts has applied for an internship at Birch Aquarium. She has one year of biology and one year of marine biology honors. She is currently residing in Merced, California and has a valid California driver's license. Her most recent job was as a sales assistant at Hallmark Gold Crown in Merced from 2009 to 2014, where she worked 24 hours per week assisting customers. She has also taken courses in volleyball, swimming, and environmental club. She is available full time on Sundays and part time Monday through Saturday.

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102 views2 pages

Rop Application SR

Samantha Roberts has applied for an internship at Birch Aquarium. She has one year of biology and one year of marine biology honors. She is currently residing in Merced, California and has a valid California driver's license. Her most recent job was as a sales assistant at Hallmark Gold Crown in Merced from 2009 to 2014, where she worked 24 hours per week assisting customers. She has also taken courses in volleyball, swimming, and environmental club. She is available full time on Sundays and part time Monday through Saturday.

Uploaded by

api-253729791
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
Samantha
Kathleen
Name: Roberts
__________________________________________

(Last)

(First)

May 4, 2014
____________________

(Middle)

Date

5610 Carmela Ct.


Present mailing address:___________________________________________________________

(P.O. Box or Street Number)


California
Merced
95340
_______________________________________________________________________________

(City)

(State)

(209 ) 819-9222

(Zip Code)

[email protected]
384-0871
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

Internship at Birch Aquarium


Position applied for:_______________________________________________________________

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


One year of Biology and another of Marine Biology Honors.

None
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:________________________________

Do you possess a valid California Drivers License?


No

Yes

_______________________
F4827654
(Number)

RECORD OF EDUCATION

Name of School

City/State

Course of
study or
major

High School

College/
University

Last year
completed

Did you
graduate?

Diploma
or degree

1 2 3 4

Merced High School

Merced/Ca

Rhode Island

Kingston/RI

1 2 3 4

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Volleyball, Swimming, Senior Class Secretary, Member of Environmental Club, Link Crew Leader

FULL TIME

AVAILABILITY
SUNDAY

availale

MONDAY

TUESDAY

WEDNESDAY

PART TIME

THURSDAY

FRIDAY

SATURDAY

available

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


Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

Sales Assistant
minimum wage
Title__________________________Last
Salary: _____________

Spriggs
Hallmark Gold Crown, 550 Merced Mall
_________________________________________________

Duties

(209)384-9261
_________________________________________________

Assist customers find merchandise, cash register,


and keep track of stock

_________________________________________________

To:

2009
______

2014
______

Mo / Yr

Mo/Yr

Total 6
____Yrs. ________Mo.

24
Hours Per Week:_________
Reason For Leaving:

_________________________________________________

Out of state Schooling

From:

Supervisors Name:
Donna Roberts
_____________________________________________________

_________________________________________________

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.

Complete Address (Include City, State, Zip)

Phone

Occupation_______

3602 Los Gatos Ct. Merced, Ca, 95348

Marcia-Marie Rosson

(209)261-6414

Coach/PE teacher

________________________________________________________________________________________________________________________________

205 West Olive Merced, Ca, 95344

2.

Steve Eccles

(209)385-6465

Science Teacher

________________________________________________________________________________________________________________________________

205 West Olive Merced, Ca, 95344

3.

(209)385-6465

Dibblee

History Teacher

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.


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

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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