Microsoft Word - Rop Job Application With Availablity Front-For Fillable

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ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Hagerman Quinn A. ____________________
5-6-19
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________


1865 Northwood Dr.
(P.O. Box or Street Number)

Merced CA 95340
_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 683-7242 ( )____________________ ____________________________


quinnhagerman@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________


Disneyland Resort Receptionist

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


Leadership skills, experience working with a team, hired as a counselor for a running camp, president of
multiple clubs and organizations, team captian of athletics.

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


None

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 Driver’s License?


‰ No ‰ Yes _______________________
(Number)

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 All Courses 1 2 3 4 Yes Diploma

College/ 1 2 3 4
Southern Utah University Cedar City, UT Hospitality Not Yet Degree
University
& Marketing
Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
President of Junior Fair Board for 2 years, President of Environmental Club for 3 years
Team captain of cross country and track for 3 years. (Leadership skills)

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

8:00am-12:00pm 8:00am-12pm 8:00am-12pm 8:00am-12pm 8:00am-12pm 8:00am-12pm 8:00am-12pm


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:
Counselor for Camp
Title__________________________Last $350
Salary: _____________
Runners Workshop in Tahoe and Idyllwild
_________________________________________________
July 21
______ July 27
______
Mo / Yr Mo/Yr
Duties _________________________________________________
0
Total ____Yrs. 0
________Mo.
Acted as a camp counselor for running kids at _________________________________________________
75
Hours Per Week:_________ Tahoe for one week. Helped run camp activites.
Reason For Leaving: _________________________________________________

Supervisor’s Name: _________________________________________________


Mark Celestin
_____________________________________________________

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:
________________________________________________

REFERENCES: Give the names of three persons not related to you.


Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
Mark Celestin 8939 Longbeach, CA 650 (562) 498-7945
Teacher/Coach
________________________________________________________________________________________________________________________________

2. Vic Jimenez 205 W Olive Ave, CA 325-1000


Teacher
________________________________________________________________________________________________________________________________

3. Karen Sizemore 205 W Olive Ave, CA 325-1000


Teacher
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.


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

Date:_________________________Signature:_________________________________________________________________

N:\ROP\Charlotte Klock\ROP Forms\Forms\ROP Job Application with availbility back-for fillable.rtf Revised 7/10

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