ROP APPLICATION
Directions: Please Print Legibly
Franks
Danielle
Lyn
Name: __________________________________________
(Last)
(First)
5-11-15
____________________
(Middle)
Date
1236 W. 25th st.
Present mailing address:___________________________________________________________
(P.O. Box or Street Number)
CA
Merced
95340
_______________________________________________________________________________
(City)
(209 ) 373-7933
(State)
(Telephone Number)
(Zip Code)
daniellefranks14@[Link]
)____________________ ____________________________
(Alternative Telephone Number)
(Email Address)
Position applied for:_______________________________________________________________
Ag. Teacher
Skills and/or competencies which qualify you for this position:
Dependable
Energetic
Customer orientated
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
College/
University
City/State
Merced HIgh School
Merced/ CA
Merced college
Merced/ CA
Course of
study or
major
Agriculture
Other
(Specify)
Last year
completed
Did you
graduate?
Diploma
or degree
1 2 3 4
Yes
diploma
1 2 3 4
1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this position:
Band, Community service, FFA
FULL TIME
AVAILABILITY
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
PART TIME
THURSDAY
FRIDAY
SATURDAY
RECORD OF EMPLOYMENT: (Begin with your most recent job)
Period of Employment
From:
Job Title and Duties Performed
Company Name, Address, and Phone Number
Title__________________________Last Salary: _____________
_________________________________________________
Duties
_________________________________________________
To:
______
______
Mo / Yr
Mo/Yr
Total ____Yrs. ________Mo.
_________________________________________________
Hours Per Week:_________
Reason For Leaving:
From:
_________________________________________________
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.
Jennifer Krumm
Complete Address (Include City, State, Zip)
Phone
Occupation_______
209-233-1303
COO
________________________________________________________________________________________________________________________________
2.
Steve Mua
209-631-4769
Ag. teacher
________________________________________________________________________________________________________________________________
3. William
Cruz
209-386-3309
Prison Guard
________________________________________________________________________________________________________________________________
I authorize investigation of all statements contained in this application.
I understand that misrepresentation or omission of facts is cause for dismissal.
Date:_________________________Signature:_________________________________________________________________
