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ROP APPLICATION
Directions: Please Print Legibly
Nuno
Alexis
Name: __________________________________________

(Last)

(First)

Jan 20 2016
____________________

(Middle)

Date

2040 V st
Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

California
95340
Merced
_______________________________________________________________________________

(City)

(State)

( 209 ) 722-7991

(Zip Code)

anuno103263@muhsdstudents.org
233-5542
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

Sale Associate
Position applied for:_______________________________________________________________

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

-Good Communication skills
- People Person

-Bilingual(English & Spanish)

-Organizing and restocking experience

Languages spoken and/or written (other than English):___________________________________

Spanish
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

_______________________
555-555-555

(Number)

RECORD OF EDUCATION

High School

Name of School

City/State

Merced High School

Merced/CA

College/
University

Not Applicable

Other
(Specify)

Not Applicable

Course of
study or
major
General
Education

Last year
completed
1 2 3 4

Did you
graduate?

Diploma
or degree

In progress Diploma

1 2 3 4

1 2 3 4

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

FULL TIME

AVAILABILITY
SUNDAY
7:00am-12:00am

MONDAY

TUESDAY

4:00pm-12:00am

4:00pm-12:00am

WEDNESDAY
4:00pm-12:00am

THURSDAY
4:00pm-12:00am

PART TIME

FRIDAY

SATURDAY

4:00pm-12:00am

7:00am-12:00am

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

ROP
Sale associate
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

When I work in Tilly's I do various duties like work with customers

to see if they need any help,clean the workplace,and maintain a
organized working environment.

_________________________________________________

Supervisors Name:
Jazmine
_____________________________________________________

_________________________________________________

Title__________________________Last
Salary: _____________
Not Applicable

_________________________________________________

Duties:

_________________________________________________

To:

10/15
______

present
______

Mo / Yr

Mo/Yr

Total ____Yrs. ________Mo.

8hrs
Hours Per Week:_________
Reason For Leaving:

From:

Tilly's

250 Merced Mall, Merced, CA 95348

(209) 383-0107

_________________________________________________

To:

______

______

Mo/ Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________

Reason For Leaving:

_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________

From:

To:

______

______

Mo /Yr

Mo/Yr

Not Applicable
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.

Susan Odishoo

Complete Address (Include City, State, Zip)

205 West Olive Ave, Merced, CA 95344

Phone

209-385-6437

Occupation_______

School Counselor

________________________________________________________________________________________________________________________________
2. Lisa

Escobedo

205 West Olive Ave, Merced, CA 95344

209-617-4628
ROP Teacher

________________________________________________________________________________________________________________________________
3.

Jasmine

250 Merced Mall, Merced, CA 95348

(209) 383-0107

ROP Manager

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

I understand that misrepresentation or omission of facts is cause for dismissal.

1/20/2016
Date:_________________________Signature:_________________________________________________________________

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

Revised 7/10