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

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ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Soto JC Cesar ____________________
5-20-19
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________


2968 Bedford Dr.
(P.O. Box or Street Number)

Merced CA 95430
_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 445-8034 ( )____________________


none ____________________________
[email protected]
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________


USMC

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


Athletic, strong minded, goal oriented, motivated.

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 Merced CA 1 2 3 4 Yes Diploma

College/ 1 2 3 4
N/A
University

Other
N/A 1 2 3 4
(Specify)

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

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:
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.
Diego Contreas Takkens shoes 540 Merced mall 209-261-5209
Shoe Maneger
________________________________________________________________________________________________________________________________

2. Fermin Isiordia 2968 Bedford Dr. Merced CA, 95340 209-261-7196


Nova Owner
________________________________________________________________________________________________________________________________

3. SSGT Gloria 510 W. Olive Ave., Merced CA 95348 209-722-7592


US Marine
________________________________________________________________________________________________________________________________

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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