Professional Documents
Culture Documents
ROP APPLICATION
Directions: Please Print Legibly
Name: __________________________________________
Strobel Samantha B ____________________
May 13th, 2019
(Last) (First) (Middle) Date
Have you ever been convicted, pleaded guilty or no contest to a misdemeanor or felony?
No Yes If yes, explain:________________________________
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 1 2 3 4 Yes Yes
College/ 1 2 3 4
University
Other
1 2 3 4
(Specify)
List appropriate extracurricular activities, clubs, organizations and courses for this position:
Communication course
FULL TIME
AVAILABILITY PART TIME
X X X X X
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:
Child Care
Title__________________________Last 250
Salary: _____________
35 W 27 Street 209 829 2098
_________________________________________________
09 18
______ 04 19
______
Mo / Yr Mo/Yr
Duties _________________________________________________
0
Total ____Yrs. 9
________Mo.
Keep all ours neat while providing stimulating care, _________________________________________________
35-50
Hours Per Week:_________ activities, and dietary needs to toddlers and infants
Reason For Leaving: _________________________________________________
Currently Still Working
Supervisor’s Name: _________________________________________________
Walter Strobel
_____________________________________________________
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:
________________________________________________
2. Brad Reed 205 W Olive Avenue Merced California 95348 (209) 201 9718
Teacher
________________________________________________________________________________________________________________________________
3. Jasmine Estrada 205 W Olive Avenue Merced California 95348 (209) 917 0692
Assets Tutor
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________
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