ROP APPLICATION

Directions: Please Print Legibly

Thomas
Michael
Name: __________________________________________

(Last)

(First)

May 12, 2014

____________________

(Middle)

Date

1463 W. 21st Street

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

CA
Merced
95341
_______________________________________________________________________________

(City)

(209 ) 261-0223

(State)

(Telephone Number)

(Zip Code)

michael.thomas.mt83@gmail.com
)____________________ ____________________________

(Alternative Telephone Number)

(Email Address)

Position applied for:_______________________________________________________________

Shipping Advisor
Skills and/or competencies which qualify you for this position:
Personible
Knowlegde of shipping procedures
Willing to work with others
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

_______________________
(Number)

RECORD OF EDUCATION

Name of School
High School

City/State

Merced High School

Merced, CA

Course of
study or
major

Last year
completed

Did you
graduate?

Diploma
or degree

General ED

1 2 3 4

Pending
2014

Gereal Ed

College/
University

1 2 3 4

Other
(Specify)

1 2 3 4

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

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

All day

3pm +

3pm +

3pm +

3pm +

3pm +

Until 4pm

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

Irrigation Tech.
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

Repair and assest problems in irrigation systems

_________________________________________________

To:

01/09
______

Present
______

Mo / Yr

Mo/Yr

5
5
Total ____Yrs.
________Mo.
12
Hours Per Week:_________
Reason For Leaving:
NA

From:

_________________________________________________
Supervisors Name:
Janice Brammer
_____________________________________________________

_________________________________________________

$4,000
Title__________________________Last
Salary: _____________
Shipping Advisor

_________________________________________________

Duties:

_________________________________________________

Oversee all aspects of shipping tomatoes

_________________________________________________

To:

06/12
______

11/12
______

Mo/ Yr

Mo/Yr

5
Total ____Yrs. ________Mo.

Williams Sprinkler Service

Hours Per Week:_________

40
Reason For Leaving:

Central California Tomato Growers

_________________________________________________

Seasonal

_________________________________________________
Supervisors Name:
Tim McCarthy
________________________________________________

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.

Steve Mua

Complete Address (Include City, State, Zip)

Phone

Occupation_______

205 W. Olive Ave. Merced, CA 95340

Ag Teacher

________________________________________________________________________________________________________________________________
2. Janice

Brammer

300 W. 3rd Street Merced, CA

Williams Sprinkler

________________________________________________________________________________________________________________________________
3. Marcus

Humphrey

205 W. Olive Ave. Merced, CA 95340

English 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:_________________________________________________________________