Professional Documents
Culture Documents
Job Application
Job Application
(Last)
(First)
5-1-15
____________________
(Middle)
Date
(City)
(559 ) 223-1994
(State)
(Telephone Number)
(Zip Code)
nmondragon401563@muhsdstudents.
)____________________ ____________________________
(Email Address)
Yes
If yes, explain:________________________________
Yes
_______________________
(Number)
RECORD OF EDUCATION
Name of School
High School
City/State
Course of
study or
major
CA
College/
University
Last year
completed
Did you
graduate?
Diploma
or degree
1 2 3 4
2015
Pending
1 2 3 4
Other
(Specify)
1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this position:
FULL TIME
AVAILABILITY
PART TIME
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Not Available
Available
Available
Not Available
Available
Available
Not Available
Snack Bar
Title__________________________Last
Salary: _____________
_________________________________________________
Duties
_________________________________________________
_________________________________________________
To:
spet. 2014
______
May 2015
______
Mo / Yr
Mo/Yr
5
Hours Per Week:_________
Reason For Leaving:
School ended
From:
(209)385-6467
_________________________________________________
Supervisors Name:
_____________________________________________________
_________________________________________________
_________________________________________________
Duties:
_________________________________________________
To:
______
______
Mo/ Yr
Mo/Yr
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From:
To:
______
______
Mo /Yr
Mo/Yr
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
Dave Lockridge
Merced CA
Phone
Occupation_______
(209)617-4688
Mentor
________________________________________________________________________________________________________________________________
2. Yer
Her
Merced CA
(530)574-4392
teacher
________________________________________________________________________________________________________________________________
3.
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________