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Rop Job Application With Availability - Fillable For Website
Rop Job Application With Availability - Fillable For Website
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ROP APPLICATION
Directions: Please Print Legibly
Nicholas
Parker
Name: Phillips
__________________________________________
(Last)
(First)
February 4, 2015
____________________
(Middle)
Date
(City)
(State)
(209 ) 819-9045
(Zip Code)
nphillips702150@muhsdstudents.org
N/A
(
)____________________
____________________________
(Alternative Telephone Number)
(Email Address)
(Telephone Number)
N/A
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
N/A
If yes, explain:________________________________
Yes
_______________________
N/A
(Number)
RECORD OF EDUCATION
Name of School
City/State
Course of
study or
major
High School
Merced/CA
General
Education
Last year
completed
Did you
graduate?
Diploma
or degree
1 2 3 4
Pending
2015
Pending
2015
1 2 3 4
N/A
1 2 3 4
N/A
List appropriate extracurricular activities, clubs, organizations and courses for this position:
ROP Marketing Foundation
FULL TIME
AVAILABILITY
PART TIME
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Open-10pm
4pm-10pm
4pm-10pm
4pm-10pm
4pm-10pm
4pm-10pm
Open-Close
Book keeper
ROP
Title__________________________Last
Salary: _____________
Barnes
& Noble
_________________________________________________
Duties
1720
West Olive Avenue
_________________________________________________
Merced,
CA 95348
_________________________________________________
To:
9/14
______
Present
______
Mo / Yr
Mo/Yr
6
Total ____Yrs. ________Mo.
8
Hours Per Week:_________
Reason For Leaving:
(209)
386-0571
_________________________________________________
Still there.
From:
Supervisors Name:
Marcus Mendez
_____________________________________________________
_________________________________________________
Title__________________________Last
Salary: _____________
N/A
_________________________________________________
Duties:
_________________________________________________
To:
______
______
Mo/ Yr
Mo/Yr
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From:
To:
______
______
Mo /Yr
Mo/Yr
N/A
Title___________________________Last
Salary: ____________
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
Phone
Occupation_______
Elisa Melgoza
(209) 947-5508
Family Friend
________________________________________________________________________________________________________________________________
2.
(209) 617-4628
Lisa Escobedo
ROP Instructor
________________________________________________________________________________________________________________________________
3.
Dolores Espinosa
(209) 385-6585
Counselor
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________
Revised 7/10