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ROP APPLICATION
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Butler
Sierra
Noel
Name: __________________________________________
(Last)
(First)
(Middle)
Date
(City)
(State)
( 209 ) 777-2036
(Zip Code)
sierra2011@att.net
( 209 )____________________
____________________________
354-4425
(Alternative Telephone Number)
(Email Address)
(Telephone Number)
Sales Associate
Position applied for:_______________________________________________________________
Have you ever been convicted, pleaded guilty or no contest to a misdemeanor or felony?
No
Yes
If yes, explain:________________________________
Yes
_______________________
(Number)
RECORD OF EDUCATION
Name of School
High School
City/State
Course of
study or
major
Merced,
California
General
Education
Last year
completed
Did you
graduate?
Diploma
or degree
1 2 3 4
Pending
Diploma
College/
University
N/A
1 2 3 4
Other
(Specify)
N/A
1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this position:
Math, English, Fashion Design, Clothing and Textiles 2&3, ROP Creative Design and Merchandising
FHA-Hero- Member, Vice President, President
FULL TIME
AVAILABILITY
PART TIME
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Open/Close
4 PM to 9 PM
4 PM to 9 PM
4 PM to 9 PM
4 PM to 9 PM
4 PM to 9 PM
Open/Close
N/A
Title__________________________Last
Salary: _____________
_________________________________________________
Duties
_________________________________________________
To:
______
______
Mo / Yr
Mo/Yr
_________________________________________________
Hours Per Week:_________
Reason For Leaving:
From:
_________________________________________________
Supervisors Name:
_____________________________________________________
_________________________________________________
Title__________________________Last
Salary: _____________
N/A
_________________________________________________
Duties:
_________________________________________________
To:
______
______
Mo/ Yr
Mo/Yr
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From:
To:
______
______
Mo /Yr
Mo/Yr
N/A
Title___________________________Last
Salary: ____________
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
Donna Acheson
Phone
Occupation_______
(209) 631-3164
Teacher
________________________________________________________________________________________________________________________________
2. Victorino
Jimenez
(209) 385-6465
Teacher
________________________________________________________________________________________________________________________________
3.
Janette Guevara
(925) 899-5081
Counselor
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________
Revised 7/10