Microsoft Word - Rop Job Application With Availablity Front-For Fillable
Microsoft Word - Rop Job Application With Availablity Front-For Fillable
Name: __________________________________________
Almanza Luis Fernando ____________________
4-28-2017
(Last) (First) (Middle) Date
Have you ever been convicted, pleaded guilty or no contest to a misdemeanor or felony?
No Yes If yes, explain:________________________________
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 Schol Merced,Ca 1 2 3 4 June,1 Diploma
2017
College/ 1 2 3 4
University
Other
1 2 3 4
(Specify)
List appropriate extracurricular activities, clubs, organizations and courses for this position:
Merced Soccer Cub
Pacific Club
FULL TIME
AVAILABILITY PART TIME
Period of Employment Job Title and Duties Performed Company Name, Address, and Phone Number
From: To:
Maintenance
Title__________________________Last $10.77 Hr.
Salary: _____________
JcPenny
_________________________________________________
03/17
______ Active
______
Mo / Yr Mo/Yr
Duties
600 Merced Mall Merced Ca,95348
_________________________________________________
Total ____Yrs. ________Mo. (209) 723-3112
Duties inlcude to clean the store entirely from _________________________________________________
18
Hours Per Week:_________ restrooms to on the floor trash and various areas.
Reason For Leaving: _________________________________________________
From: To:
Title__________________________Last Salary: _____________ _________________________________________________
______ ______
Mo/ Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From: To:
Title___________________________Last Salary: ____________ _________________________________________________
______ ______
Mo /Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
Merced Ca 95348
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________
N:\ROP\Charlotte Klock\ROP Forms\Forms\ROP Job Application with availbility back-for fillable.rtf Revised 7/10