ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Harper Vivian Paige ____________________
05/07/2019
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

3324 Columbia Ave
(P.O. Box or Street Number)

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

(209 ) 580-9017 ( )____________________ ____________________________

vpharper6204@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Outdoor education student teacher

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

I spent three weeks in the yosemite valley with Camp Green Meadows Outdoor school educating children
on the importance of understanding and preserving the earth.
Majoring in atmospheric and evironmental science.

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 Driver’s 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, Ca General ed. 1 2 3 4 Yes Diploma

College/ 1 2 3 4
University of Colorado Boulder, Co Atmospheri Not yet BS
University
Boulder c science
Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Camp Green Meadows volunteer counselor
Mountain Sports Club

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

All day After 12pm After 12pm After 12pm After 12pm After 12pm All day
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:
Sandwich Artist
Title__________________________Last $12.50
Salary: _____________
Subway
_________________________________________________
03/2019
______ Current
______
Mo / Yr Mo/Yr
Duties
3566 G Street, Merced Ca
_________________________________________________
0
Total ____Yrs. 3
________Mo.
Providing excellent customer service and quality (209) 580-4190
_________________________________________________
25
Hours Per Week:_________ food.
Reason For Leaving: _________________________________________________

Supervisor’s Name: _________________________________________________

Karissa M
_____________________________________________________

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

_________________________________________________
Supervisor’s Name:
________________________________________________

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

_________________________________________________
Supervisor’s Name:
________________________________________________

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

Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
RC Essig 452 W Main St, Merced, CA (209) 386-2544
Executive Director
________________________________________________________________________________________________________________________________

2. Vannessa Hoffmann 432 W Main St, Merced, CA (209) 631-5776

Owner
________________________________________________________________________________________________________________________________

3. Celeste Ramos 960 West 20th, Merced, CA (209) 628-1116

MCOE
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________

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