ROP APPLICATION

Directions: Please Print Legibly

Meraz
Alyssa
S.
Name: __________________________________________

(Last)

(First)

April 21,2015
____________________

(Middle)

Date

205 West Olive Avenue

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

California
Merced
95344
_______________________________________________________________________________

(City)

(State)

(209 ) 947-1112

(Telephone Number)

(Zip Code)

alyssameraz333@gmail.com
)____________________ ____________________________

(Alternative Telephone Number)

(Email Address)

Position applied for:_______________________________________________________________

Sales Associate
Skills and/or competencies which qualify you for this position:
Ability to manage and complete tasks on time, prepare and follow schedules. Arrive on time and ready to
perform, accept responsibility for own actions.

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 Drivers License?

No

Yes

_______________________
(Number)

RECORD OF EDUCATION

Name of School
High School

City/State

Merced High School

Course of
study or
major

Merced,
California

General
Education

Last year
completed

Did you
graduate?

Diploma
or degree

1 2 3 4

Pending
2015

Diploma

College/
University

N/A

1 2 3 4

Other
(Specify)

N/A

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Fashion Design and Merchandising, Soccer Club, P.A.C.I.F.I.C Club

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

12pm-8pm

4pm-9pm

4pm-9pm

4pm-9pm

4pm-9pm

4pm-9pm

12pm-8pm

RECORD OF EMPLOYMENT: (Begin with your most recent job)

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

N/A
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

To:

______

______

Mo / Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________
Hours Per Week:_________
Reason For Leaving:

From:

_________________________________________________
Supervisors Name:
_____________________________________________________

_________________________________________________

Title__________________________Last
Salary: _____________
N/A

_________________________________________________

Duties:

_________________________________________________

To:

______

______

Mo/ Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________

Reason For Leaving:

_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________

From:

To:

______

______

Mo /Yr

Mo/Yr

N/A
Title___________________________Last
Salary: ____________

_________________________________________________

Duties:

_________________________________________________

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________

Reason For Leaving:

_________________________________________________

Supervisors Name:
________________________________________________

_________________________________________________

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

Name
1.

Donna Acheson

Complete Address (Include City, State, Zip)

Merced HIgh School

Phone

Occupation_______

(209) 230-1234
Teacher

205 West Olive Avenue, Merced, California 95348

________________________________________________________________________________________________________________________________
2. Tammy

Meyer

Merced High School

(209) 628-0001
Teacher

205 West Olive Avenue, Merced, California 95348

________________________________________________________________________________________________________________________________
3. Noami

Mendez

Group Home

(209) 658-5421

211 East 23rd Street, Merced, California 95340

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:_________________________________________________________________