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Job App

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ROP APPLICATION

Directions: Please Print Legibly


Franks
Danielle
Lyn
Name: __________________________________________

(Last)

(First)

5-11-15
____________________

(Middle)

Date

1236 W. 25th st.


Present mailing address:___________________________________________________________

(P.O. Box or Street Number)


CA
Merced
95340
_______________________________________________________________________________

(City)

(209 ) 373-7933

(State)

(Telephone Number)

(Zip Code)

daniellefranks14@gmail.com
)____________________ ____________________________

(Alternative Telephone Number)

(Email Address)

Position applied for:_______________________________________________________________


Ag. Teacher
Skills and/or competencies which qualify you for this position:
Dependable
Energetic
Customer orientated
Spanish
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

City/State

Merced HIgh School

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

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


Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

Title__________________________Last Salary: _____________

_________________________________________________

Duties

_________________________________________________

To:

______

______

Mo / Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________
Hours Per Week:_________
Reason For Leaving:

From:

_________________________________________________
Supervisors Name:
_____________________________________________________

_________________________________________________

Title__________________________Last Salary: _____________

_________________________________________________

Duties:

_________________________________________________

To:

______

______

Mo/ Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________


Reason For Leaving:

_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________

From:

To:

______

______

Mo /Yr

Mo/Yr

Title___________________________Last Salary: ____________

_________________________________________________

Duties:

_________________________________________________

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________


Reason For Leaving:

_________________________________________________

Supervisors Name:
________________________________________________

_________________________________________________

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


Name
1.

Jennifer Krumm

Complete Address (Include City, State, Zip)

Phone

Occupation_______

209-233-1303
COO

________________________________________________________________________________________________________________________________
2.

Steve Mua

209-631-4769
Ag. teacher

________________________________________________________________________________________________________________________________
3. William

Cruz

209-386-3309
Prison Guard

________________________________________________________________________________________________________________________________

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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