ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Fournier Nolan Cole ____________________
04/08/2018
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

1205 Cathedral Creek Court
(P.O. Box or Street Number)

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

(209 ) -761-3076 ( 209 )____________________

-383-1198 ____________________________
n4nier@sbcglobal.net
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Sheriff Deputy Patrol Officer

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

Graduate of the Police Academy
Good public service skills

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 N/A 1 2 3 4 Anticipated Diploma
June 2018
College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
4 year baseball player
California Scolarship Federation

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

Available Available Available Available Available Available Available

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:
Cart Boy
Title__________________________Last $11.00
Salary: _____________
Merced Golf and Country Club
_________________________________________________
08/2016
______ Present
______
Mo / Yr Mo/Yr
Duties
6333 Golf Rd., Merced, CA, 95340
_________________________________________________
1
Total ____Yrs. 7
________Mo.
Clean golf carts, pick range balls, set up carts, set (209)-722-3357
_________________________________________________
10
Hours Per Week:_________ up practice range.
Reason For Leaving: _________________________________________________
Company does not offer
Supervisor’s Name: _________________________________________________
full time position.
Dave Whitby
_____________________________________________________

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.
William Freitas 205 W Olive Ave, Merced, CA 95348 (209) 325-1000
Teacher
________________________________________________________________________________________________________________________________

2. Justin Parle 205 W Olive Ave, Merced, CA 95348 (209) 325-1000

Teacher
________________________________________________________________________________________________________________________________

3. Katherine Salm 601 Mercy Ave, Merced, CA 95340 (209) 385-6330

Teacher
________________________________________________________________________________________________________________________________

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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