Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

Reset Form Print Form

ROP APPLICATION
Directions: Please Print Legibly

Name: __________________________________________
Garcia Isaac Angel ____________________
5-14-19
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________


2927 Tenaya Dr.
(P.O. Box or Street Number)

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

(209 ) 658-7222 ( 209 )____________________


201-2695 ____________________________
owan830@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________


internship

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


My skillset contains adaptability, I am very persistent, I have good communication skills and I am a hard
worker.

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


No

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 _______________________
Y8650791
(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 1 2 3 4 Yes Diploma

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Merced HIgh Varsity Baseball team, Merced Marching 100 Band, Gateway Scholars program, Drama.

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

8-CL 5-9 1-9 5-9 1-9 9-9 8-CL


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:
Roofer
Title__________________________Last Salary: _____________
R and G roofing, (209)-500-7777
_________________________________________________
July 2019
______ November 2019
______
Mo / Yr Mo/Yr
Duties _________________________________________________
5
Total ____Yrs. ________Mo.
repairing roofs _________________________________________________
7-8
Hours Per Week:_________
Reason For Leaving: _________________________________________________
School
Supervisor’s Name: _________________________________________________
Gerardo Rodriguez
_____________________________________________________

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.
Mike Zamarripa 1634 Sydney Ave. Merced, CA 95348 (209)-865-2657
Construction
________________________________________________________________________________________________________________________________

2. James Earl Walker 2157 Silverado Ave. Merced, CA 95340 (209)-626-9469


Teacher
________________________________________________________________________________________________________________________________

3. Charilie Rodriguez 5826 San Altos Ct. Monterey, CA 93940 (831)-748-5392


Priest
________________________________________________________________________________________________________________________________

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

You might also like