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Rop App

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ROP APPLICATION

Directions: Please Print Legibly


Ahnen
Emily
Raye
Name: __________________________________________

(Last)

(First)

April 6, 2016
____________________

(Middle)

Date

1870 Orchard Ln.


Present mailing address:___________________________________________________________

(P.O. Box or Street Number)


California
Merced
95340
_______________________________________________________________________________

(City)

(State)

(209 ) 769-4623

(Zip Code)

Eahnen702586@muhsdstudents.org
230-7883
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

Position applied for:_______________________________________________________________


Classroom Assitant
Skills and/or competencies which qualify you for this position:
Ability to speak clearly and concisely using standard English
Ability to identify problems, evaluate information, and define appropriate solutions
Abiltity to follow and comprehend written directions and demonstrate through restating or summarizing
N/A
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

City/State

Merced High School

Course of
study or
major

Merced,
California

General
Education

Last year
completed

Did you
graduate?

Diploma
or degree

1 2 3 4

Pending
June 2016

Diploma

College/
University

N/A

1 2 3 4

Other
(Specify)

N/A

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Foundations in Education (R.O.P) (2014-2015)
FHA Hero (2014-2015)
FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

N/A

3:30pm-6

3:30pm-6

3:30pm-6

3:30pm-6

3:30pm-6

N/A

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


Period of Employment
From:

Company Name, Address, and Phone Number

$10/HR
Cashier
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

Preparing and serving food and drinks to customers


in a timely matter.

_________________________________________________

To:

7/17
______

Present
______

Mo / Yr

Mo/Yr

N/A
N/A
Total ____Yrs.
________Mo.
25-30.5
Hours Per Week:_________
Reason For Leaving:
Still Employed

From:

Job Title and Duties Performed

705 Merced Mall Barber Shop

5/16
______

Mo/ Yr

Mo/Yr

N/A
N/A
Total ____Yrs.
________Mo.
Hours Per Week:_________
4.5
Reason For Leaving:

School year came to an


end.

From:

To:

______

______

Mo /Yr

Mo/Yr

Merced, California 95340


(209) 384-9873

_________________________________________________

Joshua Vang, Store Manager

Supervisors Name:
Joshua Vang
_____________________________________________________

_________________________________________________

N/A
Title__________________________Last
Salary: _____________
Classroom Assistant

_________________________________________________

Duties:

_________________________________________________

To assist and aid the teacher with various projects


and assignments.

_________________________________________________

To:

11/14
______

McDonald's

Chenoweth Elementary School


3200 Parsons Avenue

Merced, California 95340


(209) 385-6620

_________________________________________________

Mr. Vance d'Escoto, Principal

_________________________________________________
Supervisors Name:
Mrs. Ann DeAyora
________________________________________________

N/A
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.

Donna Acheson

Complete Address (Include City, State, Zip)

Merced High School

Phone

Occupation_______

(209) 631-3164
Teacher

205 West Olive Avenue, Merced, California 95348

________________________________________________________________________________________________________________________________
2. Mrs.

Ann DeAyora

Chenoweth Elementary School

(209) 385-6620
Teacher

3200 Parsons Avenue, Merced, California 95340

________________________________________________________________________________________________________________________________
3. Mrs.

Julie Ransom

Merced High School

(209) 385-6498

205 West Olive Avenue, Merced, California 95348

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:_________________________________________________________________

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