ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Arista Phoebe Faith ____________________
March 20, 2019
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

3287 Shamrock Avenue
(P.O. Box or Street Number)

Merced California 95340

_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 761-8073 ( 209 )____________________

383-9151 ____________________________
Phoebearistacollege2019@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Custodial- Part-Time

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

-great adaptability, great time-managment skills, excellent organization, driven, and hardwork ethic

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 _______________________
Y5960492
(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/California 1 2 3 4 Yes Yes

College/ 1 2 3 4
University of California Irvine/California
University
Irvine
Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Future Farmers of America Organization (Chapter Reporter), Varsity Golf- 4 years, Varisty Softball and
Basketball- 3 Years.

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

Not Available Available Available Available Not Available Available Not Available
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:
Swine Production
Title__________________________Last Salary: _____________
205 W Olive Ave, Merced California 95348
_________________________________________________
03/16
______ 06/19
______
Mo / Yr Mo/Yr
Duties _________________________________________________
4
Total ____Yrs. ________Mo.
I usually spend about 13 hours per week on _________________________________________________
13
Hours Per Week:_________ cleaning and maintaining the health of my swine. I
Reason For Leaving: _________________________________________________
gain knowledge and skill
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:
________________________________________________

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.
Nicole Cecil 205 W Olive Ave, Merced, CA 95348 (209)777-9311
High School Teacher
________________________________________________________________________________________________________________________________

2. Stephanie Kuhr 205 W Olive Ave, Merced, CA 95348 (209)867-5309

High School Teacher
________________________________________________________________________________________________________________________________

3. Julia Brewer 205 W Olive Ave, Merced, CA 95348 (209)123-4567

High School Teacher
________________________________________________________________________________________________________________________________

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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