Rop Application: Directions: Please Print Legibly
Rop Application: Directions: Please Print Legibly
Rop Application: Directions: Please Print Legibly
Print Form
ROP APPLICATION
Directions: Please Print Legibly
Miguel
Angel
Name: Vilchis
__________________________________________
(Last)
(First)
Jan. 7, 2014
____________________
(Middle)
Date
(City)
(State)
(209 ) 357-1355
(Zip Code)
miguelvilchis@outlook.com
600-9066
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)
(Telephone Number)
Crew Member
Position applied for:_______________________________________________________________
Spanish-fluent
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:________________________________
Yes
_______________________
(Number)
RECORD OF EDUCATION
Name of School
Course of
study or
major
City/State
High School
Atwater/CA
Last year
completed
Did you
graduate?
Diploma
or degree
1 2 3 4
Pending
Graduation
Pending
Diploma
General Ed.
1 2 3 4
N/A
1 2 3 4
N/A
List appropriate extracurricular activities, clubs, organizations and courses for this position:
ROP Marketing Foundations, FFA
FULL TIME
AVAILABILITY
PART TIME
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Open - 10pm
2pm - 10pm
3pm - 10pm
2pm - 10pm
2pm - 10pm
2pm - 10pm
Open - 10pm
Crew Member
N/A
Title__________________________Last
Salary: _____________
McDonald`s
_________________________________________________
Duties
1521
Bell Dr.
_________________________________________________
Atwater,
CA 95301
_________________________________________________
To:
10/13
______
12/13
______
Mo / Yr
Mo/Yr
2
Total 0
____Yrs. ________Mo.
8
Hours Per Week:_________
Reason For Leaving:
(209)
358-7256
_________________________________________________
ROP Intern
Supervisors Name:
Angela McKellar
_____________________________________________________
From:
To:
06/11
______
present
______
Mo/ Yr
Mo/Yr
2
Total ____Yrs.
________Mo.
_________________________________________________
Volunteer
Title__________________________Last
Salary: _____________
Church Volunteer
First
Baptist Church
_________________________________________________
Duties:
500
Buena Vista Dr.
_________________________________________________
Merced,
CA 95348
_________________________________________________
(209)
383-7729
_________________________________________________
1
Hours Per Week:_________
Reason For Leaving:
currently working presently
_________________________________________________
Supervisors Name:
Pastor Dominguez
________________________________________________
From:
To:
______
______
Mo /Yr
Mo/Yr
N/A
Title___________________________Last
Salary: ____________
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
Phone
Occupation_______
Cheryl Obayashi
(209) 358-3088
ROP Instructor
________________________________________________________________________________________________________________________________
2.
(209) 357-6000
Tara Ramirez
English Teahcer
________________________________________________________________________________________________________________________________
3.
Olga Abajuela
(209) 357-6000
Math Teacher
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________
Revised 7/10