Escolar Documentos
Profissional Documentos
Cultura Documentos
(Last)
(First)
February 8, 2016
____________________
(Middle)
Date
(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:_______________________________________________________________
Have you ever been convicted, pleaded guilty or no contest to a misdemeanor or felony?
No
Yes
If yes, explain:________________________________
Yes
_______________________
E1515385
(Number)
RECORD OF EDUCATION
High School
College/
University
Course of
study or
major
Name of School
City/State
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
Free
MM100 Pancake Breakfast Salary: _____________
Title__________________________Last
_________________________________________________
Duties
_________________________________________________
To:
2/2016
______
2/2016
______
Mo / Yr
Mo/Yr
4
1
Total ____Yrs.
________Mo.
(209) 385-6465
_________________________________________________
5
Hours Per Week:_________
Reason For Leaving:
From:
_________________________________________________
Supervisors Name:
Mike Smith
_____________________________________________________
_________________________________________________
_________________________________________________
Duties:
_________________________________________________
To:
______
______
Mo/ Yr
Mo/Yr
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From:
To:
______
______
Mo /Yr
Mo/Yr
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
Bill Freitas
Phone
(209)-385-6465
Occupation_______
Teacher
________________________________________________________________________________________________________________________________
2. Brian
McCabe
(209)-725-4197
Superior Court Judge
________________________________________________________________________________________________________________________________
3.
Greg Sullivan
(209)-385-7451
Law Enforcement
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________
Revised 7/10