You are on page 1of 2

Reset Form Print Form

ROP APPLICATION
Directions: Please Print Legibly

Name: __________________________________________
Ronnie Miranda III ____________________
MAy 13, 2019
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________


205 West Olive Ave
(P.O. Box or Street Number)

Merced California 95348


_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 325-1000 ( 209 )____________________


777-6752 ____________________________
rmiranda105324@muhsdstudents.org
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________


Banker

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


Excelled in all math classes including my accounting classes.

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


Spanish

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 scool Merced/CA 1 2 3 4 N/A N/A

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY


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:
Code of Conduct
Title__________________________Last Salary: _____________
Nelson
_________________________________________________
july 2018
______ current
______
Mo / Yr Mo/Yr
Duties
4900 Marie P DeBartolo Way, Santa Clara,
_________________________________________________
Total ____Yrs. ________Mo. CA 95054
My duties are to scan employee badges, making _________________________________________________
Hours Per Week:_________ sure that there are no mishaps. (415) 464-9377
Reason For Leaving: _________________________________________________

Supervisor’s Name: _________________________________________________


Ronnie Miranda II
_____________________________________________________

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.
Rob Sheidt 205 W Olive Ave, Merced, CA 95348 (209)325-1000
Football coach
________________________________________________________________________________________________________________________________

2.

________________________________________________________________________________________________________________________________

3.

________________________________________________________________________________________________________________________________

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

You might also like