Scanned Documents a .y ROP APPLICATION Directions: Please Print Logibly Name: i Was) (Fest) (Madie} Dae Present mailing address_ 205 W.. (P.0. Box or Steet Number) A cH TBiatey (aip Codey (od Tu-$4¢0—_ (tea) aut: gane ___Othathanzei_@ gmail.com (Telephone Number) (Message Telephone Number) (Emal Address) Position applied for, Cd Lige ntumshie Skills and/or cor Languages spoken andlor written (other than English): Have you ever been convictod, pleaded guilty or no contest to a misdemeanor or felony? Yio ayes yes, expan Do you possess a valid California Driver's License? No ‘yes ¥ co RECORD OF EDUCATION ‘Cours of study or 214 }0u | Diploma Name of Schoo! ciysate | major graduate? |ordow Hon Seioo! [Meret Wig Shey | Merced Jen WA Coteou Savery Oar (Spec t?aa L AvAILABtLry anne sven | wenon | esa | weovesoar [tansy | may Piri fime [2-tom |a-cuse [o-cim locus 2-close | Anytime.Scanned Documents s RECORD OF EMPLOYNENT: (Begin with your most recent job) Patiodof Employment [Job Tt Duties Performed Zompany Name, Addroe, and Phone Number, From te Fes Ferteee— | tars tae: fe Warn, Last Satay BN] 5.49. fowenspromde: core for Oniidnen _ how Dive NN mo, [ORB _OGL OL Lot mvdntion, Rhnysical Ockunny, Sugenierag, Coane, [Packard Wovsehotch ___ (aoa) 1U4- WO Te [Reson Frag — ga sla fe Non Last Sau few Ore wo leo pdr on. at fo __bast satay Prone Seesoaton Pswiey Lesgord /ls026 uoach Road __|204-uer-san,_| Peimne Fane credit P ay. Pocnaco |S24\ W Maple Ave aguas -ugss |Doy Hout Seemoich 43040 Gen. ® JeSit Banu [\2eA Conmnerce fe | Aiwater, CA 6204 uthorize investigation ofall statements contained inthis application. |lunderstand that misrepresentation or omission of facts is cause for dismissal, 22A-717- 2yqy | OOH Born nominee Vey? Je Holtn i ty achat pate 31 Well sere Out Chable.