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ROP APPLICATION
Directions: Please Print Legibly
Edreane-Pearl
N/A
Name: Tenay
__________________________________________

(Last)

(First)

04/28/2014
____________________

(Middle)

Date

3977 Menton Ct.

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

CA
Merced
95348
_______________________________________________________________________________

(City)

(State)

(209 ) 777-3179

(Zip Code)

etenay101625@muhsdstudents.org
N/A
(
)____________________
____________________________
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

Applebees Hostess
Position applied for:_______________________________________________________________

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

Friendly, open minded, positive attitude, Serv Safe Certified, and dedicated to everything that I do.

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

City/State

Course of
study or
major

High School

College/
University
Other
(Specify)

Last year
completed

Did you
graduate?

Diploma
or degree

No

General

N/A

N/A

N/A

N/A

1 2 3 4

Merced High School

Merced/CA

General

N/A

N/A

N/A

N/A

N/A

N/A

1 2 3 4

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Link Crew, Catered at a charity ball, Played Soccer and Track, Spanish

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

7:00a-12:00a

after 3:30p

after 3:30p

after 3:30p

after 3:30p

after 3:30p

7:00a-12:00a

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

Assitant Coach
volunteer
Title__________________________Last
Salary: _____________

Merced
Youth Soccer Association
_________________________________________________

Duties

3600
M St.
_________________________________________________

To:

1/1/13
______

Now
______

Mo / Yr

Mo/Yr

4
Total 1
____Yrs. ________Mo.
10
Hours Per Week:_________
Reason For Leaving:

Help teammates work out their differences, lead

drills and runs.

Merced,
CA 95348
_________________________________________________
_________________________________________________

N/A
Supervisors Name:
John Hanneman
_____________________________________________________
From:

To:

8/16/13
______

Now
______

Mo/ Yr

Mo/Yr

1
Total ____Yrs.
________Mo.
5
Hours Per Week:_________
Reason For Leaving:

_________________________________________________

Volunteer
Title__________________________Last
Salary: _____________
Link Crew

Merced
High School
_________________________________________________

Duties:

205
W. Olive Ave.
_________________________________________________

Help freshman through their first year of highschool,

tutor freshman, set an example for them

Merced,
CA 95348
_________________________________________________
_________________________________________________

N/A

_________________________________________________
Supervisors Name:
Ms. Rosson
________________________________________________

From:

To:

2/5/08
______

Now
______

Mo /Yr

Mo/Yr

1
4
Total ____Yrs.
________Mo.

10
Hours Per Week:_________
Reason For Leaving:

Volunteer
Babysitter
Title___________________________Last
Salary: ____________

Don
Cabanag
_________________________________________________

Duties:

3977
Menton Ct.
_________________________________________________

Feed brothers, wake them up, make them do their

homework before watching T.V and playing games.

N/A
Supervisors Name:
Don Cabanag
________________________________________________

Merced,
CA 95348
_________________________________________________
(209)777-3179
_________________________________________________
_________________________________________________

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

Name
1.

Complete Address (Include City, State, Zip)

Phone

Occupation_______

2347 Westwood Dr. Merced, CA 95348

Rudy Monteon

(209)056-1031

Manager at Raley's

________________________________________________________________________________________________________________________________

N/A

2.

(209)172-8788

Darrell Cherf

Teacher

________________________________________________________________________________________________________________________________

N/A

3.

Andre Calzadillas

(209)985-0322

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:_________________________________________________________________

N:\ROP\Charlotte Klock\ROP Forms\Forms\ROP Job Application with availbility back-for fillable.rtf

Revised 7/10