ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Sizemore Kassidy Ann ____________________
5/12/19
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

2193 Spy Glass Ct.
(P.O. Box or Street Number)

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

(209 ) 489-6959 ( 209 )____________________

723-6124 ____________________________
kassidysizemore@gmai.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

CubeSat Developer's workshop committee

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

organizational skills
great communication abilities
strong leadership qualities

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/CA 1 2 3 4 I will in a
week
College/ 1 2 3 4
California Polytechnic State San Luis EIM
University
University, San Luis Obispo Obispo/CA
Other
1 2 3 4
(Specify)

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

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

all day varies varies varies varies varies all day

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:
File Clerk
Title__________________________Last 10/hr
Salary: _____________
TCB Investigations
_________________________________________________
12/18
______ present
______
Mo / Yr Mo/Yr
Duties
K St. Merced, CA 95340
_________________________________________________
0
Total ____Yrs. 6
________Mo.
clean office, create case files, file paperwork (209) 761-8920
_________________________________________________
6
Hours Per Week:_________
Reason For Leaving: _________________________________________________
not enough hours
Supervisor’s Name: _________________________________________________
Donavan Sizemore
_____________________________________________________

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.
Haydee Arreola 205 W Olive Ave
teacher
________________________________________________________________________________________________________________________________

2. John Kane 205 W Olive Ave

teacher
________________________________________________________________________________________________________________________________

3. Stephen Eccles 205 W Olive Ave

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:_________________________________________________________________