ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Foss Jacob Michael ____________________
May 5, 2017
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

5533 East South Bear Creek Dr.
(P.O. Box or Street Number)

Merced CA 95340
_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 631-5587 ( 209 )____________________

535-3248 ____________________________
jakefoss03@yahoo.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Nike Representative

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

Hardworking
Caring
Determined

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

None

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
Course of
study or Last year Did you Diploma
Name of School City/State major completed graduate? or degree
High School Merced High School Merced 1 2 3 4 Yes

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Leadership- 4 years; current ASB Vice President
Football- 4 years; captain and quarterback

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

11-3 5-8 5-8 5-8 5-8 5-8 11-3

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

Period of Employment Job Title and Duties Performed Company Name, Address, and Phone Number
From: To:
Landscape
Title__________________________Last Salary: _____________
Quad Knopf Engineering
_________________________________________________
06/16
______ 10/16
______
Mo / Yr Mo/Yr
Duties
2816 Park Ave. Merced CA
_________________________________________________
Total ____Yrs. ________Mo. (209) 723-2066
Landscape Maintenance _________________________________________________
2
Hours Per Week:_________
Reason For Leaving: _________________________________________________
Injury to Shoulder
Supervisors Name: _________________________________________________
Garth Pecchanino
_____________________________________________________

From: To:
Title__________________________Last Salary: _____________ _________________________________________________
______ ______
Mo/ Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

_________________________________________________
Supervisors Name:
________________________________________________

From: To:
Title___________________________Last Salary: ____________ _________________________________________________
______ ______
Mo /Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

_________________________________________________
Supervisors Name:
________________________________________________

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

Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
Rob Scheidt
Football Coach
________________________________________________________________________________________________________________________________

2. Kurt Smoot
School Counselor
________________________________________________________________________________________________________________________________

3. Garth Pecchanino
Employer
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________