ROP APPLICATION

Directions: Please Print Legibly

Briones
Carlos
J
Name: __________________________________________

(Last)

(First)

05/1/15
____________________

(Middle)

Date

1050 East Donna Dr.

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

California
Merced
95348
_______________________________________________________________________________

(City)

(State)

(209 ) 617 9224

(Telephone Number)

(Zip Code)

441 2344
( 559 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

Position applied for:_______________________________________________________________

Salesman
Skills and/or competencies which qualify you for this position:
I have lead a chapter of FFA, and have had the responsiblitity to handle a quite bit of money.

English
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

_______________________
43225jjfd4ff44f
(Number)

RECORD OF EDUCATION

Name of School
High School

Course of
study or
major

City/State

Merced

Merced Ca.

College/
University

Last year
completed

Did you
graduate?

Diploma
or degree

1 2 3 4

enrolled

Diploma

1 2 3 4

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
FFA

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

yes

yes

yes

yes

yes

yes

yes

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

Zombie manager
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

Manage all zomnies in the corn field.

_________________________________________________

To:

oct,
______

nov
______

Mo / Yr

Mo/Yr

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

From:

Frightmare Farms

_________________________________________________
Supervisors Name:
_____________________________________________________

_________________________________________________

Title__________________________Last Salary: _____________

_________________________________________________

Duties:

_________________________________________________

To:

______

______

Mo/ Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________

Reason For Leaving:

_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________

From:

To:

______

______

Mo /Yr

Mo/Yr

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.

Josh Brown

Complete Address (Include City, State, Zip)

Phone

Occupation_______

123 La Grange. way

Business owner

________________________________________________________________________________________________________________________________
2. Roy

Campbell

2223 El dorado dr.

Business owner

________________________________________________________________________________________________________________________________
3. Allen

Rios

1112 merced ave.

Business owner

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

I understand that misrepresentation or omission of facts is cause for dismissal.

Date:_________________________Signature:_________________________________________________________________