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Microsoft Word - Rop Job Application With Availablity Front-For Fillable
Microsoft Word - Rop Job Application With Availablity Front-For Fillable
Name: __________________________________________
Zepeda Edgar Abdon ____________________
March 3. 2019
(Last) (First) (Middle) Date
Have you ever been convicted, pleaded guilty or no contest to a misdemeanor or felony?
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 General ed. 1 2 3 4 Yes HS
Diploma
College/ 1 2 3 4
University of California Merced, CA Environmen N/A N/A
University
Merced tal
Other Engineeri
1 2 3 4
(Specify)
List appropriate extracurricular activities, clubs, organizations and courses for this position:
Future Business Leaders of America (FBLA)
FULL TIME
AVAILABILITY PART TIME
All day 5 p.m. - 9 p.m. 5 p.m. - 9 p.m. 6 p.m. - 9 p.m. 5 p.m. - 9 p.m. 5 p.m. - 9 p.m. 12 p.m. - 9 p.m.
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:
Title__________________________Last Salary: _____________ _________________________________________________
______ ______
Mo / Yr Mo/Yr
Duties _________________________________________________
Total ____Yrs. ________Mo.
_________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________
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:
________________________________________________
Date:_________________________Signature:_________________________________________________________________