ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Sabao-Schneider Florencia ____________________
04/20/17
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

3186 East Olive Ave
(P.O. Box or Street Number)

Merced California 95340

_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 777-1291 ( 209 )____________________

355-7300 ____________________________
florenciasabao@hotmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Medical Assistant

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

-Great communiction skills, Empathy, Great People skills, analytical skills, detail oriented, technical
(accurate) skills

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 _______________________
(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, 1 2 3 4 June 1, Diploma
California 2017
College/ 1 2 3 4
UC Merced Merced, Biology June 2021 B.S
University
California Major Degree
Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Intern at a psychiatrist clinic, Vida Sana (Argentina)
P.A.L.S- helping handicapped (mentally/physically) students

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

8 am- 5 pm 10 am- 3 pm 8 am- 5 pm

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:
Title__________________________Last Salary: _____________ _________________________________________________
______ ______
Mo / Yr Mo/Yr
Duties _________________________________________________
Total ____Yrs. ________Mo.
_________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

Supervisors Name: _________________________________________________

_____________________________________________________

From: To:
Title__________________________Last Salary: _____________ _________________________________________________
______ ______
Mo/ Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

_________________________________________________
Supervisors Name:
________________________________________________

From: To:
Title___________________________Last Salary: ____________ _________________________________________________
______ ______
Mo /Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

_________________________________________________
Supervisors Name:
________________________________________________

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

Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
Eva Orellna-Lara 1865 Mirror Lake Street (209) 631- 5647
Care-giver
Merced, Ca 95348
________________________________________________________________________________________________________________________________

2. Lourdes Reyes 286 East El Portal Dr. (209) 546-1232

Accountant
Merced Ca, 95340
________________________________________________________________________________________________________________________________

3. Beth Loredo 654 Lecco Way (209) 887-3685

Accountant
Merced Ca, 95430
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________