Directions: Please Print Legibly

Name: ________Martin,Damante,Keshawn__________________________________
____________________
(Last) (First) (Middle) Date
Present mailing address:___1310 frankfort ct
________________________________________________________
(P.O. Box or Street Number)
______________________________________________________________________
_________
(City) (State) (Zip Code)
( ) ( )_Merced,CA,95348___________________ ____________________________
(510-224-0383) (Damante_m@icloud.com)
Position applied for:___Auto mechanic
____________________________________________________________
Skills and/or competencies which qualify you for this position:

Languages spoken and/or written (other than English): none

___________________________________
Have you ever been convicted, pleaded guilty or no contest to a misdemeanor or
felony?
No Yes If yes, explain:_________no _______________________
Do you possess a valid California Driver’s License?
No Yes ___________no____________
(Number)
RECORD OF EDUCATION
HIgh school
Name of School City/State
Merced Highschool
Course of
study or
major

Last year
completed

Did you
Graduate? Currently 2018

Diploma
or degree

High School 1 2 3 4
College/
University

1234

Other
(Specify) 1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this
position:

FULL TIME
AVAILABILITY PART TIME
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

N:\ROP\Charlotte Klock\ROP Forms\Forms\ROP Job Application with availbility back-for

fillable.rtf Revised 7/10
RECORD OF EMPLOYMENT: (Begin with your most recent job)
Period of Employment Job Title and Duties Performed Company Name, Address, and
Phone Number 209-640-6341
From: To:
___kane___ ______
10/ 8/2017
Total ____Yrs. ________Mo.
Hours Per Week:___4______
Reason For Leaving: december,11,2017

Title__________________________Last Salary: _____________

Duties

Supervisor’s Name:
_____________________________________________________

_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________

From: To:
______ ______
Mo/ Yr Mo/Yr
Total ____Yrs. ________Mo.
Hours Per Week:_________
Reason For Leaving:

Title__________________________Last Salary: _____________

Duties:

Supervisor’s Name:
________________________________________________

_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________

From: To:
______ ______
Mo /Yr Mo/Yr
Total ____Yrs. ________Mo.
Hours Per Week:_________
Reason For Leaving:

Title___________________________Last Salary: ____________

Duties:

Supervisor’s Name:
________________________________________________

_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________

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

Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.

______________________________________________________________________
__________________________________________________________
2.

______________________________________________________________________
__________________________________________________________
3.

______________________________________________________________________
__________________________________________________________
I authorize investigation of all statements contained in this application.
I understand that misrepresentation or omission of facts is cause for dismissal.

Date:_________________________Signature:________________________________
_________________________________