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ROPAPPLICATION

Directions:PleasePrintLegibly

Name:__________________________________________CoronelJackelin
____________________April29,2015(Last)(First)(Middle)Date

Presentmailingaddress:___________________________________________________________
1136West3rdSt
(P.O.BoxorStreetNumber)

_______________________________________________________________________________
MercedCalifornia95341
(City)(State)(ZipCode)
(209

)6587977()________________________________________________
jackelincoronel@gmail.com(Telephone
Number)(AlternativeTelephoneNumber)(EmailAddress)

Positionappliedfor:_______________________________________________________________
HumanResourceSpecialist

Skillsand/orcompetencieswhichqualifyyouforthisposition:
PacificClub,YearbookStaff,RegistrarOfficeTeacherAssistant

Languagesspokenand/orwritten(otherthanEnglish):___________________________________
Spanish

Haveyoueverbeenconvicted,pleadedguiltyornocontesttoamisdemeanororfelony?
NoYesIfyes,explain:________________________________
DoyoupossessavalidCaliforniaDriversLicense?
NoYes_______________________
(Number)

RECORDOFEDUCATION
CourseofstudyorNameofSchoolCity/State
major
MercedHighSchoolMerced,CAGeneralPending
June2015
PacificClub,YearbookStaff,RegistrarOfficeTeacherAssistant
Lastyearcompleted
Didyougraduate?
Diplomaordegree
HighSchool1234
College/University
General

1234
Other(Specify)
1234

Listappropriateextracurricularactivities,clubs,organizationsandcoursesforthisposition:
FULLTIMEAVAILABILITY
PARTTIME
SUNDAYMONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAY
9:00a5:00p8:00a5:00p8:00a5:00p8:00a5:00p8:005:00p8:00a5:00p9:00a5:00p


RECORDOFEMPLOYMENT:(Beginwithyourmostrecentjob)

PeriodofEmploymentJobTitleandDutiesPerformedCompanyName,Address,andPhoneNumberFrom:
To:
____________Mo/YrMo/Yr
Total____Yrs.________Mo.
HoursPerWeek:_________ReasonForLeaving:
Title__________________________LastSalary:_____________
Duties
SupervisorsName:_____________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
From:To:
____________Mo/YrMo/Yr
Total____Yrs.________Mo.
HoursPerWeek:_________ReasonForLeaving:
Title__________________________LastSalary:_____________
Duties:
SupervisorsName:________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
From:To:
____________Mo/YrMo/Yr
Total____Yrs.________Mo.
HoursPerWeek:_________ReasonForLeaving:
Title___________________________LastSalary:____________
Duties:
SupervisorsName:________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________

REFERENCES:Givethenamesofthreepersonsnotrelatedtoyou.
NameCompleteAddress(IncludeCity,State,Zip)PhoneOccupation_______1.
VanessaSanchez
202AEastMainStreet
(209)7771197
_____________________________________________________________________________________________
___________________________________
Merced,CA95340
WokeratPayless
2.
SaraiGarcia
113PlainAve
(209)2002036
StudentatGaltHigh
_____________________________________________________________________________________________
___________________________________
Galt,CA95632
3.
AnaliLeonides
1130West3rdSt
_____________________________________________________________________________________________
___________________________________
Merced,CA95340
(209)2303399
WorkeratBloom
Iauthorizeinvestigationofallstatementscontainedinthisapplication.Iunderstandthatmisrepresentation
oromissionoffactsiscausefordismissal.
Date:_________________________Signature:________________________________________________________
_________
N:\ROP\CharlotteKlock\ROPForms\Forms\ROPJobApplicationwithavailbilitybackforfillable.rtfRevised7/10

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