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ROP APPLICATION
Directions: Please Print Legibly

Shokar
Amanpreet
Name: __________________________________________
(Last)
(First)
May 10, 2015

____________________
(Middle)
Date
1163 Pinnacle Dr.

Present mailing address:___________________________________________________________
(P.O. Box or Street Number)

California
Merced
95348
_______________________________________________________________________________
(City)
(State)
(209 ) 500-9969
(Zip Code)
shokar1997@yahoo.com
813-8898
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)
(Telephone Number)
Position applied for:_______________________________________________________________

ANY
Skills and/or competencies which qualify you for this position:
Organized
Responsibe
Outgoing
Hardworking
Punjabi, French
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 Drivers License?

No
Yes
_______________________
(Number)
RECORD OF EDUCATION
Name of School
High School
College/
University
Course of
study or
major
City/State
Merced High
Merced, CA
Merced College
Merced, CA
Psychology
Busines
Other
(Specify)
Last year
completed
Did you
graduate?
Diploma
or degree
1 2 3 4
Soon
Diploma
1 2 3 4
1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this position:
Link Crew
FULL TIME
AVAILABILITY
PART TIME
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
RECORD OF EMPLOYMENT: (Begin with your most recent job)

Period of Employment
From:
Job Title and Duties Performed
Company Name, Address, and Phone Number
$300
Cashier
Title__________________________Last
Salary: _____________
_________________________________________________
Duties
_________________________________________________
Answering phone calls, upkeep of lobby,
_________________________________________________
To:
11/14
______
09/15
______
Mo / Yr
Mo/Yr
10
Total ____Yrs. ________Mo.
2751 Shaffer Rd
20
Hours Per Week:_________
Reason For Leaving:
Moving away for college
From:
Mountain MIkes Pizza
Atwater, CA
(209) 358-5000
_________________________________________________
Supervisors Name:
Ricardo Rodriguez
_____________________________________________________
_________________________________________________
Title__________________________Last Salary: _____________
_________________________________________________
Duties:
_________________________________________________
To:
______
______
Mo/ Yr
Mo/Yr
Total ____Yrs. ________Mo.
_________________________________________________

Reason For Leaving:
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From:
To:
______
______
Mo /Yr
Mo/Yr
Title___________________________Last Salary: ____________
_________________________________________________
Duties:
_________________________________________________
Total ____Yrs. ________Mo.
_________________________________________________

Reason For Leaving:
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
REFERENCES: Give the names of three persons not related to you.

Name
1.
Complete Address (Include City, State, Zip)
Phone
Occupation_______
2968 Bedford Ave

Laura Isiordia
Merced, CA 95340
(209)261-6393
Teacher
________________________________________________________________________________________________________________________________
2.
Ricardo Rodriguez
(209)354-0077
Restaurant Manager
Atwater, CA
________________________________________________________________________________________________________________________________
Livingston Police Station
3.
Richard Macchia
(209)769-8852
Livington,CA
Police Officer
________________________________________________________________________________________________________________________________
I authorize investigation of all statements contained in this application.

I understand that misrepresentation or omission of facts is cause for dismissal.
Date:_________________________Signature:_________________________________________________________________

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ROP APPLICATION

Directions: Please Print Legibly

May 10, 2015

1163 Pinnacle Dr.

(P.O. Box or Street Number)

Position applied for:_______________________________________________________________

Do you possess a valid California Drivers License?

RECORD OF EMPLOYMENT: (Begin with your most recent job)

Job Title and Duties Performed

Company Name, Address, and Phone Number

Answering phone calls, upkeep of lobby,

Mountain MIkes Pizza

Title__________________________Last Salary: _____________

Total ____Yrs. ________Mo.

Hours Per Week:_________

Title___________________________Last Salary: ____________

Total ____Yrs. ________Mo.

Hours Per Week:_________

REFERENCES: Give the names of three persons not related to you.

Complete Address (Include City, State, Zip)

2968 Bedford Ave

Livingston Police Station

I authorize investigation of all statements contained in this application.

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Title______________Last Salary: _

Total Yrs. ____Mo.

Title_______________Last Salary:

Total Yrs. ____Mo.