ROP APPLICATION

Directions: Please Print Legibly

Galvan
Daisy
Aracely
Name: __________________________________________

(Last)

(First)

04/30/15
____________________

(Middle)

Date

3348 Olympia Ct
Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

CA.
Mercd
95348
_______________________________________________________________________________

(City)

(209 ) 354-6161

(State)

(Telephone Number)

(Zip Code)

daisy_sweet.heart@hotmail.com
)____________________ ____________________________

(Alternative Telephone Number)

(Email Address)

Position applied for:_______________________________________________________________

Sales associate
Skills and/or competencies which qualify you for this position:
Potential in the customer service area. Have a positive attitude, responsible and organized.

Spanish
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

Last year
completed

Did you
graduate?

Senior

1 2 3 4

Not Yet

Merced CA

College/
University

Diploma
or degree

1 2 3 4

Other
(Specify)

1 2 3 4

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

FULL TIME

AVAILABILITY
SUNDAY

MONDAY

TUESDAY

WEDNESDAY

PART TIME

THURSDAY

FRIDAY

SATURDAY

9:00am-9:00pm 3:00pm-9:00pm3:00pm-9:00pm 3:00pm-9:00pm 3:00pm-9:00pm3:00pm-9:00pm9:00am-9:00pm

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

Minimum
Customer service
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

Managed customers cell phone transactions.

Answer any question customers had.

_________________________________________________

To:

2009
______

2011
______

Mo / Yr

Mo/Yr

2
Total ____Yrs.
________Mo.

28
Hours Per Week:_________
Reason For Leaving:

Company closed

From:

Mexico

_________________________________________________
Supervisors Name:
Salvandor Galvan
_____________________________________________________

_________________________________________________

Minimum
Title__________________________Last
Salary: _____________
Sales associate

_________________________________________________

Duties:

_________________________________________________

Provide customer service.

Organize clothing.

_________________________________________________

To:

2012
______

2013
______

Mo/ Yr

Mo/Yr

1
Total ____Yrs.
________Mo.
Hours Per Week:_________
28
Reason For Leaving:

Telcel

Boy London Boutique

Mexico

_________________________________________________

Moved to U.S

_________________________________________________
Supervisors Name:
Belinda
________________________________________________

From:

To:

______

______

Mo /Yr

Mo/Yr

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.

Andrea De Leon

Complete Address (Include City, State, Zip)

205 West Olive Avenue, Merced CA 95348

Phone

Occupation_______

(209) 354-6465
Teacher

________________________________________________________________________________________________________________________________
2. Mayra

Flores

205 West Olive Avenue, Merced CA 95348

(209) 354-6465
Teacher

________________________________________________________________________________________________________________________________
3. Cesar

Flores

205 West Olive Avenue, Merced CA 95348

(209) 354-6465
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:_________________________________________________________________

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

Revised 7/10