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ROP APPLICATION
Directions: Please Print Legibly
Rowe
John
R
Name: __________________________________________

(Last)

(First)

____________________

(Middle)

Date

5107 Moran Ave.

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

California
95301
Atwater
_______________________________________________________________________________

(City)

(State)

( 209 ) 761-9191

(Telephone Number)

(Zip Code)

johnrowe1997@sbcglobal.net
)____________________ ____________________________

(Alternative Telephone Number)

(Email Address)

Entry level welding job

Position applied for:_______________________________________________________________

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

This year I'm an FFA Chapter officer and it has taught me many different skills such as public speaking,
being a hard worker, being loyal, trustworthy, responsible and how to be a team player. One of the biggest
thing that the I've learned was not to quit something until it is done.

Languages spoken and/or written (other than English):___________________________________

N/A
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

High School

Name of School

City/State

Merced High School

Merced/California

Course of
study or
major

Last year
completed

Did you
graduate?

Diploma
or degree

1 2 3 4

College/
University

1 2 3 4

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
I'm involved in my FFA Chapter and this year I am an officer. I was also on the golf team for 3 years and I've
played golf for 8 years or so. I've been involved with my youth group since 6th grade and this past year I
became a leader for the middle school youth group.

AVAILABILITY
SUNDAY

Available

MONDAY

available

TUESDAY

Available

WEDNESDAY

Available

FULL TIME
PART TIME

THURSDAY

Available

FRIDAY

Available

SATURDAY

Available

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

Title__________________________Last Salary: _____________

_________________________________________________

Duties

_________________________________________________

To:

______

______

Mo / Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________
Hours Per Week:_________
Reason For Leaving:

From:

_________________________________________________
Supervisors Name:
_____________________________________________________

_________________________________________________

Title__________________________Last Salary: _____________

_________________________________________________

Duties:

_________________________________________________

To:

______

______

Mo/ Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________

Reason For Leaving:

_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________

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

Complete Address (Include City, State, Zip)

Phone

Occupation_______

1.

Steve Mua
________________________________________________________________________________________________________________________________
2.

________________________________________________________________________________________________________________________________
3.

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

I understand that misrepresentation or omission of facts is cause for dismissal.

2/9/2016
Date:_________________________Signature:_________________________________________________________________

N:\ROP\Charlotte Klock\ROP Forms\Forms\ROP Job Application with availbility back-for fillable.rtf

Revised 7/10