Job App
Job App
Job App
(Last)
(First)
5-11-15
____________________
(Middle)
Date
(City)
(209 ) 373-7933
(State)
(Telephone Number)
(Zip Code)
daniellefranks14@gmail.com
)____________________ ____________________________
(Email Address)
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
High School
College/
University
City/State
Merced/ CA
Merced college
Merced/ CA
Course of
study or
major
Agriculture
Other
(Specify)
Last year
completed
Did you
graduate?
Diploma
or degree
1 2 3 4
Yes
diploma
1 2 3 4
1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this position:
Band, Community service, FFA
FULL TIME
AVAILABILITY
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
PART TIME
THURSDAY
FRIDAY
SATURDAY
_________________________________________________
Duties
_________________________________________________
To:
______
______
Mo / Yr
Mo/Yr
_________________________________________________
Hours Per Week:_________
Reason For Leaving:
From:
_________________________________________________
Supervisors Name:
_____________________________________________________
_________________________________________________
_________________________________________________
Duties:
_________________________________________________
To:
______
______
Mo/ Yr
Mo/Yr
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From:
To:
______
______
Mo /Yr
Mo/Yr
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
Jennifer Krumm
Phone
Occupation_______
209-233-1303
COO
________________________________________________________________________________________________________________________________
2.
Steve Mua
209-631-4769
Ag. teacher
________________________________________________________________________________________________________________________________
3. William
Cruz
209-386-3309
Prison Guard
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________