ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Flores Thomas Jose ____________________
4/24/17
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

1036 Hansen Ave
(P.O. Box or Street Number)

Merced CA 95340
_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) -769-1230 ( 209 )____________________

-384-7927 ____________________________
homerunhitter1930@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Welder/fabricator

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

I have completed 3 years in a high school welding shop completed various prijects ranging from windmills
all the way up to welding trailors

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 Drivers 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 School Merced GED 1 2 3 4 Pending Pending

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
4 Years in FFA 3 years on Football team $ years on baseball team

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

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:
christmas tree delivery
Title__________________________Last Salary: _____________
Merced FFA community service projects
_________________________________________________
______ ______
Mo / Yr Mo/Yr
Duties _________________________________________________
Total ____Yrs. ________Mo.
deliver christmas trees to less fourtunate families _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

Supervisors Name: _________________________________________________

Steve Mua
_____________________________________________________

From: To:
Merced FFA community service project
Trash Pickup
Title__________________________Last Salary: _____________ _________________________________________________
______ ______
Mo/ Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. clean up the banks of bear creek in merced _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

_________________________________________________
Supervisors Name:
Lauen Elliott
________________________________________________

From: To:
Title___________________________Last Salary: ____________ _________________________________________________
______ ______
Mo /Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

_________________________________________________
Supervisors Name:
________________________________________________

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

Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
Steve Mua 3330 Belcher Ave Merced CA 95348 (209)631-4769
Ag teacher
________________________________________________________________________________________________________________________________

2. Linda Clinton 5984 E Olive Ave Merced CA 95340 (209)232-9726

Ag teacher
________________________________________________________________________________________________________________________________

3. John Huie 6019 E Olive Ave Merced CA 95340 (209)564-2240

Dairy Man
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

I understand that misrepresentation or omission of facts is cause for dismissal.

Date:_________________________Signature:_________________________________________________________________