Rop Application: Directions: Please Print Legibly
Rop Application: Directions: Please Print Legibly
Rop Application: Directions: Please Print Legibly
Name: __________________________________________
Shelton Whitney N ____________________
may 1st, 2017
(Last) (First) (Middle) Date
Merced CA 95340
_______________________________________________________________________________
(City) (State) (Zip Code)
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 Merced,CA 1 2 3 4 Yes Diploma
College/ 1 2 3 4
Merced Community College Merced, CA undecided
University
Other
1 2 3 4
(Specify)
List appropriate extracurricular activities, clubs, organizations and courses for this position:
Link Crew , Key club , Zoo Volunteer
FULL TIME
AVAILABILITY PART TIME
Period of Employment Job Title and Duties Performed Company Name, Address, and Phone Number
From: To:
Babysitter
Title__________________________Last $15/day
Salary: _____________
N/A
_________________________________________________
4/16
______ ---
______
Mo / Yr Mo/Yr
Duties _________________________________________________
1
Total ____Yrs. 1
________Mo.
Provide entertainment and nutritious snacks/meals _________________________________________________
varies
Hours Per Week:_________ for child while parents were unavailable.
Reason For Leaving: _________________________________________________
From: To:
Title__________________________Last Salary: _____________ _________________________________________________
______ ______
Mo/ Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From: To:
Title___________________________Last Salary: ____________ _________________________________________________
______ ______
Mo /Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
3.
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________