ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Caballero Jayson Daniel ____________________
5/20/19
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

208 Brookdale dr apt 13
(P.O. Box or Street Number)

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

(209 ) 7617006 ( )____________________ ____________________________

Jaysoncaballero66@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Anything

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

Leadership and teamwork from being a past Peer assistive learner.

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

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 1 2 3 4 June 6th Diploma
2019
College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

X X X X X X X