ROP APPLICATION

Directions: Please Print Legibly

Espino
Ashton
Raeann
Name: __________________________________________

(Last)

(First)

4/18/2016
____________________

(Middle)

Date

1475 W North Bear Creek Dr

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

CA
95348
Merced
_______________________________________________________________________________

(City)

( 209 ) 261-0677
(Telephone Number)

(State)

(Zip Code)

ashton.espino@icloud.com
988-2502
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

Marine Biology
Position applied for:_______________________________________________________________

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

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

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

_______________________
F7390269
(Number)

RECORD OF EDUCATION

Name of School
High School

Course of
study or
major

City/State

Merced High School

Merced/CA

Last year
completed

General
Education

College/
University

Did you
graduate?

1 2 3 4

Diploma
or degree

No

1 2 3 4

Other
(Specify)

1 2 3 4

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

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

Open

Open

Open

Open

Open

Open

Open

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

0.00/1 credit
Floral Design
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

Create floral arrangements for holidays and

functions.

_________________________________________________

Supervisors Name:
Ms. Galan
_____________________________________________________

_________________________________________________

Title__________________________Last Salary: _____________

_________________________________________________

Duties:

_________________________________________________

To:

08/13
______

06/14
______

Mo / Yr

Mo/Yr

0
7
Total ____Yrs.
________Mo.
5
Hours Per Week:_________
Reason For Leaving:

From:

Merced High School, 205 West Olive Ave. 95348

(209) 325-1000

_________________________________________________

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.

Brian Omlin

Complete Address (Include City, State, Zip)

1345 Brook Valley Ct. Stockton, CA. 95209

Phone

(209) 481-1270

Occupation_______

General Manager

________________________________________________________________________________________________________________________________
2. Laura

Pasley

1427 Oregon Dr. Merced, CA. 95340

(209) 201-2725
Real Estate Broker

________________________________________________________________________________________________________________________________
3.

Stephen Eccles

205 West Olive Ave. 95348

N/A
Teacher

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

04/18/2016
Ashton Espino
Date:_________________________Signature:_________________________________________________________________

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

Revised 7/10