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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: __________________________________________
Michel Andres ____________________
5/15/2019
(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 Merced High 1 2 3 4 Yes Yes
School
College/ 1 2 3 4
Stanford University Stanford Ca Undeclared No No
University
Other
nnn 1 2 3 4
(Specify)
List appropriate extracurricular activities, clubs, organizations and courses for this position:
I have the honor to be the captain of my soccer varsity team. I was chosen by my classmates because of my
leadership skills. I played in the Merced soccer academy team since my junior year in the U16 team. Besides
playing and practicing in my team, I tutored my peers with academics
FULL TIME
AVAILABILITY PART TIME
Period of Employment Job Title and Duties Performed Company Name, Address, and Phone Number
From: To:
DishWasher
Title__________________________Last 250/ week
Salary: _____________
Los Panchos Mexican Restaurant
_________________________________________________
05/16
______ Present
______
Mo / Yr Mo/Yr
Duties
2971 G St, Merced, CA 95340
_________________________________________________
3
Total ____Yrs. 2
________Mo.
My main responsibility was maintain the kitchen 209-421-3322
_________________________________________________
18
Hours Per Week:_________ clean and wash all the dishes.
Reason For Leaving: _________________________________________________
I still work here.
Supervisor’s Name: _________________________________________________
_____________________________________________________
From: To:
200/ week Varies
Agricultural Worker, Field
Title__________________________Last Salary: _____________ _________________________________________________
08/15
______ 05/17
______
Mo/ Yr Mo/Yr Duties:
Varies where they have work
_________________________________________________
1
Total ____Yrs. 3
________Mo. I worked in the fields pickig peaches, apples, 209-724-3420
_________________________________________________
20
Hours Per Week:_________ cherries and tomatoes.
Reason For Leaving: _________________________________________________
School _________________________________________________
Supervisor’s Name:
________________________________________________
From: To:
Tutor
Title___________________________Last 0
Salary: ____________
Andres' Tutorial
_________________________________________________
05/18
______ 05/19
______
Mo /Yr Mo/Yr Duties:
2807 Parl Ave. Apt.2
_________________________________________________
1
Total ____Yrs. 0
________Mo. I tutored my peers in subjects such as chemistry, 209-421-3326
_________________________________________________
5
Hours Per Week:_________ math, biology, Spanish, and physics.
Reason For Leaving: _________________________________________________
School _________________________________________________
Supervisor’s Name:
________________________________________________
Date:_________________________Signature:_________________________________________________________________
N:\ROP\Charlotte Klock\ROP Forms\Forms\ROP Job Application with availbility back-for fillable.rtf Revised 7/10