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    Job Application 1

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    api-356699345
    The ROP application collects an applicant's personal information including name, address, phone number, and email, as well as information about their education, skills, availability, previous work experience, and references for a position with Riggs Ambulance. The applicant, David Perales, provides his contact information and indicates he is a hard worker, natural born leader, and is patient and calm in stressful situations to qualify for the ambulance position.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Job Application 1

    Uploaded by

    api-356699345
    102 views2 pages
    The ROP application collects an applicant's personal information including name, address, phone number, and email, as well as information about their education, skills, availability, previous work experience, and references for a position with Riggs Ambulance. The applicant, David Perales, provides his contact information and indicates he is a hard worker, natural born leader, and is patient and calm in stressful situations to qualify for the ambulance position.

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    job application 1

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    The ROP application collects an applicant's personal information including name, address, phone number, and email, as well as information about their education, skills, availability, previous work experience, and references for a position with Riggs Ambulance. The applicant, David Perales, provides his contact information and indicates he is a hard worker, natural born leader, and is patient and calm in stressful situations to qualify for the ambulance position.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    102 views2 pages

    Job Application 1

    Uploaded by

    api-356699345
    The ROP application collects an applicant's personal information including name, address, phone number, and email, as well as information about their education, skills, availability, previous work experience, and references for a position with Riggs Ambulance. The applicant, David Perales, provides his contact information and indicates he is a hard worker, natural born leader, and is patient and calm in stressful situations to qualify for the ambulance position.

    Copyright:

    © All Rights Reserved
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    ROP APPLICATION

    Directions: Please Print Legibly

    Name: __________________________________________
    Perales David ____________________
    04/28/17
    (Last) (First) (Middle) Date

    Present mailing address:___________________________________________________________


    3509 San Isdro Ave
    (P.O. Box or Street Number)

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

    (209 ) 291-9914 ( 209 )____________________


    631-5783 ____________________________
    [email protected]
    (Telephone Number) (Alternative Telephone Number) (Email Address)

    Position applied for:_______________________________________________________________


    Riggs Ambulance

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


    I am a hard worker and I love to help others. I am a natural born leader. I am patient with others and calm in
    times of distress.

    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 _______________________
    (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 NO NO

    College/ 1 2 3 4
    University

    Other
    1 2 3 4
    (Specify)

    List appropriate extracurricular activities, clubs, organizations and courses for this position:
    Varsity Football, Bears Give back Program (Community Service), Merced bears youth football (Coach)

    FULL TIME
    AVAILABILITY PART TIME

    SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

    x x x x x x
    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: _________________________________________________

    Supervisors Name: _________________________________________________


    _____________________________________________________

    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:
    ________________________________________________

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


    Name Complete Address (Include City, State, Zip) Phone Occupation_______
    1.
    Rob Scheidt Favier Court, Merced, CA (209)658-9517
    Teacher
    ________________________________________________________________________________________________________________________________

    2. Steve Disalvo Merced, CA (209) 201-3784


    Teacher
    ________________________________________________________________________________________________________________________________

    3. John Wendel Merced, CA (209)761-6596


    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:_________________________________________________________________

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