ROP APPLICATION

Directions: Please Print Legibly

Hernandez Zachary Marcanthony
Name: __________________________________________

(Last)

(First)

May 5, 2015
____________________

(Middle)

Date

1188 Sentinel Ct.

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

Ca.
Merced
95340
_______________________________________________________________________________

(City)

( 209 ) 723-7227
(Telephone Number)

(State)

(Zip Code)

Zachh1996@yahoo.com
756-3800
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

Nuclear Electrician
Position applied for:_______________________________________________________________

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

Proficiency in both mathematics and science. Hardworker. Follows orders.

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

Partial understanding of Spanish
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

City/State

Merced High School

Course of
study or
major

Last year
completed
1 2 3 4

Merced, Ca.

College/
University

Did you
graduate?

Diploma
or degree

Still in
school

1 2 3 4

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Varsity Cross Country (Freshman through Senior Years)
Track and Field Distance (Freshman, Sophomore and Senior Year)
Tennis (Junior Year)

AVAILABILITY
SUNDAY

MONDAY

TUESDAY

WEDNESDAY

FULL TIME
PART TIME

THURSDAY

FRIDAY

SATURDAY

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

Period of Employment
From:

Company Name, Address, and Phone Number

$10 per week

Yardworker
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

Cut Lawn and help maintain yard

_________________________________________________

To:

______

Currently
______

Mo / Yr

Mo/Yr

May 2010

Job Title and Duties Performed

5
Total ____Yrs.
________Mo.

1-209-723-7227

Hours Per Week:_________

Reason For Leaving:

From:

No company name, 1188 Sentinel Ct.

_________________________________________________
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.

Rita Murphy

Complete Address (Include City, State, Zip)

Phone

Occupation_______

1187 Sentinel Ct.

Teacher

________________________________________________________________________________________________________________________________
2.

________________________________________________________________________________________________________________________________
3.

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

May 5, 2015
Date:_________________________Signature:_________________________________________________________________