ROP APPLICATION

Directions: Please Print Legibly

Azevedo
Nathan
Elias
Name: __________________________________________

(Last)

(First)

04-20-15
____________________

(Middle)

Date

3589 Tammy Court

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

CA
Merced
95348
_______________________________________________________________________________

(City)

(209 ) 201-7696
(Telephone Number)

(State)

(Zip Code)

nathanzevedo@gmail.com
388-0842
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

Position applied for:_______________________________________________________________

music production (intern)
Skills and/or competencies which qualify you for this position:
sound board opperation knowledge, time management, equipment set-up

Spanish
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
High School

Course of
study or
major

City/State

Merced High School

Merced/CA

College/
University

Last year
completed

Did you
graduate?

Diploma
or degree

1 2 3 4

Yes

Diploma

1 2 3 4

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Leadership, Interact, Keep it classy, and Environmental club

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

4-10pm

5-9pm

5-9pm

5-9pm

5-9pm

5-9pm

4-10pm

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

0
Commissioner of Spirit
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

set-up, date planning, advertisment, group

organization, portfolio building

_________________________________________________

To:

08/13
______

05/14
______

Mo / Yr

Mo/Yr

10
1
Total ____Yrs.
________Mo.
40
Hours Per Week:_________
Reason For Leaving:
graduating

From:

_________________________________________________
Supervisors Name:
Haydee Arreola
_____________________________________________________

_________________________________________________

0
Title__________________________Last
Commissioner of Noontim Salary: _____________

_________________________________________________

Duties:

_________________________________________________

set-up, advertisement, date planning, public

involvment, group speaking

_________________________________________________

To:

08/14
______

08/15
______

Mo/ Yr

Mo/Yr

10
1
Total ____Yrs.
________Mo.
Hours Per Week:_________
40
Reason For Leaving:

Leadership, 205 W. olive avenue, (209) 385-6465

Leadership, 205 W. olive avenue, (209) 205- 646

_________________________________________________

graduating

_________________________________________________
Supervisors Name:
Haydee Arreola
________________________________________________

From:

To:

08/12
______

05/13
______

Mo /Yr

Mo/Yr

1
10
Total ____Yrs.
________Mo.
40
Hours Per Week:_________
Reason For Leaving:

Leadership, 205 W. olive avenue, (209) 205-6465

0
Commissioner of PR
Title___________________________Last
Salary: ____________

_________________________________________________

Duties:

_________________________________________________

set-up, interviewing, contacting businesses,

information organization, event planning

_________________________________________________
_________________________________________________

graduating
Supervisors Name:
Haydee Arreola
________________________________________________

_________________________________________________

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

Name
1.

Haydee Arreola

Complete Address (Include City, State, Zip)

7885 Mayfield Drive, Turlock CA 94884

Phone

Occupation_______

(209) 764-2210
Leadership advisor

________________________________________________________________________________________________________________________________
2. Christine

Nicolson

3234 Blossom Court, Mariposa CA 95338

(209) 811-0965
SBO advisor

________________________________________________________________________________________________________________________________
3. Tiffany

Abarca

5678 Birchwood Court, Merced CA 95348

(209) 453- 2365

SBO accountant

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________