ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Foutch Anastasia Nicole ____________________
9 May 2019
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

245 West 22nd Street
(P.O. Box or Street Number)

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

(209 ) 201-9637 ( 209 )____________________

201-2151 ____________________________
acordes105151@muhsdstudents.org
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Agriculture Educator & Advisor

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

Instructing, Reading Comprehension, Writing, Science, Critical Thinking, Public Speaking, Active Listening,
Active Learning, Learning Strategies, Time Management, Complex Problem Solving, Coordination,
Judgment and Decision Making, Monitoring, Mathematics, and Social Perceptiveness.

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 _______________________
(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 pending diploma

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
FFA, FCCLA, Culinary Art Club

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

All Day After 5 P.M. Before 3:30 P.M. After 5 P.M. All Day After 2:20 P.M. All Day
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:
Data Entry
Title__________________________Last Salary: _____________
J.L. Foutch Trucking
_________________________________________________
9/15
______ currrent
______
Mo / Yr Mo/Yr
Duties
245-247 West 22nd Street Merced, CA
_________________________________________________
3
Total ____Yrs. 8
________Mo.
Data entry, communications. Entering data (209)201-2151
_________________________________________________
8.75
Hours Per Week:_________ regarding money, time, and logistics.
Reason For Leaving: (209)500-8550
_________________________________________________
n/a (209)355-4861
Supervisor’s Name: _________________________________________________
Joanie Foutch & Mark Foutch
_____________________________________________________

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.
Andrew Calzadillas 205 West Olive Ave., Merced, CA 95348 (209)385-6467
Pro Start Instructor
________________________________________________________________________________________________________________________________

2. Crestina Abraham 205 West Olive Ave., Merced, CA 95348 (209) 761-1197
Agriculture Teacher
________________________________________________________________________________________________________________________________

3. Joanie Foutch 245 West 22nd Street, Merced, CA 95340 (209)201-2151

Trucking Logistics
________________________________________________________________________________________________________________________________

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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