Rop App
Rop App
Rop App
(Last)
(First)
April 6, 2016
____________________
(Middle)
Date
(City)
(State)
(209 ) 769-4623
(Zip Code)
Eahnen702586@muhsdstudents.org
230-7883
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)
(Telephone Number)
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
City/State
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
$10/HR
Cashier
Title__________________________Last
Salary: _____________
_________________________________________________
Duties
_________________________________________________
_________________________________________________
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:
5/16
______
Mo/ Yr
Mo/Yr
N/A
N/A
Total ____Yrs.
________Mo.
Hours Per Week:_________
4.5
Reason For Leaving:
From:
To:
______
______
Mo /Yr
Mo/Yr
_________________________________________________
Supervisors Name:
Joshua Vang
_____________________________________________________
_________________________________________________
N/A
Title__________________________Last
Salary: _____________
Classroom Assistant
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
To:
11/14
______
McDonald's
_________________________________________________
_________________________________________________
Supervisors Name:
Mrs. Ann DeAyora
________________________________________________
N/A
Title___________________________Last
Salary: ____________
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
Donna Acheson
Phone
Occupation_______
(209) 631-3164
Teacher
________________________________________________________________________________________________________________________________
2. Mrs.
Ann DeAyora
(209) 385-6620
Teacher
________________________________________________________________________________________________________________________________
3. Mrs.
Julie Ransom
(209) 385-6498
Teacher
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________