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ROP APPLICATION

Directions: Please Print Legibly


Pazin
Nicholas
Jonathan
Name: __________________________________________

(Last)

(First)

February 8, 2016
____________________

(Middle)

Date

1351 Donna Court


Present mailing address:___________________________________________________________

(P.O. Box or Street Number)


California
Merced
95340
_______________________________________________________________________________

(City)

(State)

( 209 ) 489-0425

(Zip Code)

njpazin@yahoo.com
725-1496
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

English Teacher
Position applied for:_______________________________________________________________

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


I am pretty social and easygoing, so I can talk to people without being scared. I was in the marching band
and played the trumpet for jazz band, french horn for marching/concert, and mellophone for rallies. I've
done lots of things for the band, such as concert/jazz festivals, helping at fundraisers, etc., so I know how to
work for money. I think I am qualified for this job because I am a hardworking man that's always on time,
does his work, never gives up, I will promise you that I will never be a slacker.
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 Drivers License?


No

Yes

_______________________
E1515385

(Number)

RECORD OF EDUCATION

High School

College/
University

Course of
study or
major

Name of School

City/State

Merced High School

Merced,
California

English

UC Merced

Merced, CA

English

Other
(Specify)

Last year
completed
1 2 3 4

1 2 3 4

Did you
graduate?

Diploma
or degree

Yes

Diploma

Yes

Degree

1 2 3 4

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

AVAILABILITY
SUNDAY

OFF

MONDAY

TUESDAY

WEDNESDAY

FULL TIME
PART TIME

THURSDAY

FRIDAY

SATURDAY

9:00 AM-3:00 PM
9:00 AM-3:00 PM
9:00 AM-3:00 PM 9:00 AM-3:00 PM
9:00 AM-3:00 PM
OFF

RECORD OF EMPLOYMENT: (Begin with your most recent job)


Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

Free
MM100 Pancake Breakfast Salary: _____________
Title__________________________Last

_________________________________________________

Duties

_________________________________________________

To:

2/2016
______

2/2016
______

Mo / Yr

Mo/Yr

205 W. Olive Ave.

4
1
Total ____Yrs.
________Mo.

(209) 385-6465

_________________________________________________

5
Hours Per Week:_________
Reason For Leaving:

From:

Merced High School

_________________________________________________
Supervisors Name:
Mike Smith
_____________________________________________________

_________________________________________________

Title__________________________Last Salary: _____________

_________________________________________________

Duties:

_________________________________________________

To:

______

______

Mo/ Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________


Reason For Leaving:

_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________

From:

To:

______

______

Mo /Yr

Mo/Yr

Title___________________________Last Salary: ____________

_________________________________________________

Duties:

_________________________________________________

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________


Reason For Leaving:

_________________________________________________

Supervisors Name:
________________________________________________

_________________________________________________

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


Name
1.

Bill Freitas

Complete Address (Include City, State, Zip)

205 W. Olive Ave., California, 95340

Phone

(209)-385-6465

Occupation_______

Teacher

________________________________________________________________________________________________________________________________
2. Brian

McCabe

670 W. 21st St., California, 95340

(209)-725-4197
Superior Court Judge

________________________________________________________________________________________________________________________________
3.

Greg Sullivan

700 W. 22nd St., California, 95340

(209)-385-7451
Law Enforcement

________________________________________________________________________________________________________________________________

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

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