Professional Documents
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Kami Export - Microsoft Word - Rop Job Application
Kami Export - Microsoft Word - Rop Job Application
Spanish
Languages spoken and/or written (other than English):___________________________________
Have you ever been convicted, pleaded guilty or no contest to a misdemeanor or felony?
x No Yes If yes, explain:________________________________
RECORD OF EDUCATION
Course of
study or Last year Did you Diploma
Name of School City/State major completed graduate? or degree
High School Merced High School Merced, CA 1 2 3 [ 4] Yes Yes
List appropriate extracurricular activities, clubs, organizations and courses for this position:
FULL TIME
AVAILABILITY x PART TIME
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
After 1200 hrs After 1500 hrs 0800 - 2200 hrs All day After 1600 hrs All day All day
RECORD OF EMPLOYMENT: (Begin with your most recent job)
Period of Employment Job Title and Duties Performed Company Name, Address, and Phone Number
From: To:
2/18 ______
4/18 In-n-Out Associate, Level 2
Title__________________________Last $435
Salary: _____________ In-n-Out Burger, 1578 Martin Luther King Jr.
_________________________________________________
______
Mo
/ Yr Mo/Yr
Duties Way, Merced, CA, 95340
_________________________________________________
____Yrs.
Total 0 ________Mo.
2
Keeping supplies stocked, taking orders, fulfilling
(800) 786-1000
_________________________________________________
Per
Hours Week:_________
15
costumer needs, cleaning the dining area
Reason For Leaving: _________________________________________________
Job opportunities
Supervisor’s Name: Jack Vang _________________________________________________
more applicable to my _____________________________________________________
ultimate career goal
From: To:
Title__________________________Last Salary: _____________ _________________________________________________
______ ______
Mo/ Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________
_________________________________________________
Supervisor’s Name:
________________________________________________
From: To:
Title___________________________Last Salary: ____________ _________________________________________________
______ ______
Mo /Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________
_________________________________________________
Supervisor’s Name:
________________________________________________
________________________________________________________________________________________________________________________________
3. Keith Tetangco 628 Palmer Street, Merced, CA 95340 (209) 311-4392 Forensics and
Chemistry Teacher
at Merced High
________________________________________________________________________________________________________________________________
I authorize investigation of all statements contained in this application.
I understand that misrepresentation or omission of facts is cause for dismissal.
Aprill 2, 2018
Date:_________________________Signature:_________________________________________________________________
N:\ROP\Charlotte Klock\ROP Forms\Forms\ROP Job Application with availbility back-for fillable.rtf Revised 7/10