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ROP APPLICATION
Directions: Please Print Legibly
Joseph
Brenden
Name: Booth
__________________________________________

(Last)

(First)

April 18, 2016

____________________

(Middle)

Date

3522 Windsong Court

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

California
Merced
95340-8210
_______________________________________________________________________________

(City)

(State)

(209 ) 726-0846
(Telephone Number)

(Zip Code)

jbooth702645@muhsdstudents.org
777-3465
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

Youth Tour Leader at Monterey Bay Aquarium

Position applied for:_______________________________________________________________

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

I am intelligent, a fast learner, resourceful, skilled in laboratory sciences, and hard working.

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

Course of
study or
major

City/State

High School

College/
University

Last year
completed

Merced High Scool

Merced/CA

General
Education

Howard University

Washington/DC

Biology

Diploma
or degree

Yes

Diploma

No,
attending

Bachelor of
Science

1 2 3 4

1 2 3 4

Other
(Specify)

Did you
graduate?

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Courses: Biology, AP Biology, Chemistry, AP Chemistry, Marine Biology Honors

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

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

Sales Associate
$10.00 p/hr.
Title__________________________Last
Salary: _____________

JBB
Farm Stand
_________________________________________________

Duties

1535
So. Tyler Road
_________________________________________________

To:

11/13
______

Present
______

Mo / Yr

Mo/Yr

5
3
Total ____Yrs.
________Mo.
12
Hours Per Week:_________
Reason For Leaving:

Organizing and sorting; weighing; using a cash

register; assisting with customer service questions

Merced,
Ca. 95341
_________________________________________________
_________________________________________________

Products not in season

From:

Supervisors Name:
Grace Booth
_____________________________________________________

_________________________________________________

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.

Complete Address (Include City, State, Zip)

Phone

Occupation_______

404 West 6th Street

Sterling Kyle, Jr.

Merced, Ca. 95341

(559) 704-9378

Pastor

________________________________________________________________________________________________________________________________

205 W. Olive Ave.

2.

(209) 325-1000

Pamela Bennett

Teacher

Merced, Ca. 95348

________________________________________________________________________________________________________________________________

205 W. Olive Ave.

3.

Ronald Scheidt

(209) 325-1000

Merced, Ca. 95348

Coach

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________

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

Revised 7/10