Job Application

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ROP APPLICATION
Directions: Please Print Legibly
Name: __________________________________________
Shelton Daniel R. ____________________
5/14/19
(Last) (First) (Middle) Date
Present mailing address:___________________________________________________________

2020 Normandy LN
(P.O. Box or Street Number)
Merced California 95348

_______________________________________________________________________________
(City) (State) (Zip Code)
(209 ) 628-3854 ( 209 )____________________

628-4223 ____________________________
sheltondaniel209@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)
Position applied for:_______________________________________________________________

Veternairy Assistant
Skills and/or competencies which qualify you for this position:

The skills I think qualify me for this job is knowing how too properally adminestrate shots to animals.Due too
my previous jobs.Which are working on a dairy and being a Ranch hand .Through this they both hav
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 Driver’s License?

No Yes _______________________
Y8200412
(Number)
RECORD OF EDUCATION
Course of
study or Last year Did you Diploma
Name of School City/State major completed graduate? or degree
High School Merced High School Merced, CA 1 2 3 4
College/ 1 2 3 4
University
Other
1 2 3 4
(Specify)
List appropriate extracurricular activities, clubs, organizations and courses for this position:
Ive been a Chapter Officer for Merced FFA ,im also involved in FFA.Ive played football for 9 years.
FULL TIME
AVAILABILITY PART TIME
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

RECORD OF EMPLOYMENT: (Begin with your most recent job)
Period of Employment Job Title and Duties Performed Company Name, Address, and Phone Number
From: To:
Title__________________________Last Salary: _____________ _________________________________________________
______ ______
Mo / Yr Mo/Yr
Duties _________________________________________________
Total ____Yrs. ________Mo.
_________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________
Supervisor’s Name: _________________________________________________

_____________________________________________________
From: To:
Title__________________________Last Salary: _____________ _________________________________________________
______ ______
Mo/ Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
_________________________________________________
Supervisor’s Name:
________________________________________________
From: To:
Title___________________________Last Salary: ____________ _________________________________________________
______ ______
Mo /Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
_________________________________________________
Supervisor’s Name:
________________________________________________
REFERENCES: Give the names of three persons not related to you.

Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
________________________________________________________________________________________________________________________________
2.
________________________________________________________________________________________________________________________________
3.
________________________________________________________________________________________________________________________________
I authorize investigation of all statements contained in this application.

I understand that misrepresentation or omission of facts is cause for dismissal.
Date:_________________________Signature:_________________________________________________________________
N:\ROP\Charlotte Klock\ROP Forms\Forms\ROP Job Application with availbility back-for fillable.rtf Revised 7/10

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Present mailing address:___________________________________________________________

Merced California 95348

(209 ) 628-3854 ( 209 )____________________

Position applied for:_______________________________________________________________

Skills and/or competencies which qualify you for this position:

Languages spoken and/or written (other than English):___________________________________

Do you possess a valid California Driver’s License?

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

Supervisor’s Name: _________________________________________________

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

I authorize investigation of all statements contained in this application.

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