ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Carter Joshua Patrick ____________________
4/11
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

705 Brookdale Dr
(P.O. Box or Street Number)

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

(209 ) 631-2971 ( )____________________ ____________________________

jcarter104455@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

FireFighter

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

4 years in the Marine Corps as a Firefighter.

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 _______________________
Y4044121
(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, CA 1 2 3 4 yes

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

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

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

all all all all all all all

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:
Cook/Cashier
Title__________________________Last Salary: _____________
KFC , Olive Ave, Merced CA
_________________________________________________
03/16
______ 03/18
______
Mo / Yr Mo/Yr
Duties _________________________________________________
2
Total ____Yrs. ________Mo.
Cooking, Taking orders, tending to customers. _________________________________________________
8-20
Hours Per Week:_________
Reason For Leaving: _________________________________________________
New Job
Supervisor’s Name: _________________________________________________
Vanessa Herron
_____________________________________________________

From: To:
Zumiez, Merced Mall, Merced CA
Sales
Title__________________________Last Salary: _____________ _________________________________________________
11/17
______ 08/18
______
Mo/ Yr Mo/Yr Duties: _________________________________________________
8
Total ____Yrs. ________Mo. Helping customers, Stocking, Online orders, _________________________________________________
4
Hours Per Week:_________ Cashregister.
Reason For Leaving: _________________________________________________

Marines _________________________________________________
Supervisor’s Name:
America Baza
________________________________________________

From: To:
Busser
Title___________________________Last Salary: ____________
3355 Gst, Merced CA
_________________________________________________
03/18
______ 08/18
______
Mo /Yr Mo/Yr Duties: _________________________________________________
5
Total ____Yrs. ________Mo. Tending to customers, Cashregister _________________________________________________
18
Hours Per Week:_________
Reason For Leaving: _________________________________________________

Marines _________________________________________________
Supervisor’s Name:
Bianca Garcia
________________________________________________

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

Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
Sgt. Orlando Gloria 510 W. Olive Ave, Merced, CA 95348 209-482-2165
Marine Recruiter
________________________________________________________________________________________________________________________________

2. SSgt. Johnathan 510 W. Olive Ave, Merced CA 95348 209-299-0636

Vanburnen Marine Recruiter
________________________________________________________________________________________________________________________________

3. Natalie Salas 209-466-1903

Supervisor
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________