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ROP APPLICATION
Directions: Please Print Legibly
Rabago, Colin J.
Name: __________________________________________

(Last)

(First)

4/19/16
____________________

(Middle)

Date

Present mailing address:___________________________________________________________

1320 Club Drive
(P.O. Box or Street Number)
CA
Merced
95340
_______________________________________________________________________________

(City)

(State)

( 209 ) 201-6394

(Zip Code)

crabago103316@muhsdstudents.org
( lol )____________________
____________________________
not-cool
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

Engineer
Position applied for:_______________________________________________________________

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

Straight As through math classes, including Calculus

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

City/State

Merced High

Course of
study or
major

Last year
completed

Did you
graduate?

Diploma
or degree

Math

1 2 3 4

almost

diploma

Merced, CA

College/
University

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

10am-3pm

5pm-8pm

5pm-8pm

5pm-8pm

5pm-8pm

5pm-8pm

10am-3pm

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

$15 per trophy

Chess teacher
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

teach kids how to play chess

_________________________________________________

To:

08/06
______

06/09
______

Mo / Yr

Mo/Yr

9
2
Total ____Yrs.
________Mo.

St. Luke's Elementary School

350 Yosemite Ave.

1
Hours Per Week:_________
Reason For Leaving:

(209) say-halo

_________________________________________________

leaving elementary school

From:

Supervisors Name:
Mr. Osborne
_____________________________________________________

_________________________________________________

food money
Title__________________________Last
Salary: _____________
Accountant/ Cashier

_________________________________________________

Duties:

_________________________________________________

keep track of money for my parents

_________________________________________________

To:

08/09
______

08/12
______

Mo/ Yr

Mo/Yr

0
3
Total ____Yrs.
________Mo.

Home

1320 Club Dr.

Hours Per Week:_________

0.25
Reason For Leaving:

(209) 722-9556

_________________________________________________

leaving middle school

_________________________________________________
Supervisors Name:
James Rabago
________________________________________________

From:

To:

08/14
______

06/16
______

Mo /Yr

Mo/Yr

2
9
Total ____Yrs.
________Mo.

Merced High School

1 favor per lesson_________________________________________________
Math Tutor
Title___________________________Last
Salary: ____________
205 W Olive. Ave.

Duties:

_________________________________________________

teach friends math

_________________________________________________

1
Hours Per Week:_________
Reason For Leaving:

(209) wiz-math

_________________________________________________

leaving high school

Supervisors Name:
Mr. Hagerman
________________________________________________

_________________________________________________

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

Name
1.

Mr. Fagan

Complete Address (Include City, State, Zip)

350 Yosemite Ave.

Phone

Occupation_______

(209) old-town

Math teacher

Merced, CA, 95348

________________________________________________________________________________________________________________________________
2. Mr.

Jones

1200 Mercy Ave.

(209) 600-test
Math teacher

Merced, CA, 95348

________________________________________________________________________________________________________________________________
3.

Mr. Hagerman

205 W Olive. Ave.

(209) wiz-math

Merced, CA 95348

Math teacher

________________________________________________________________________________________________________________________________

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