ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Santana Ulisses ____________________
4/13/2018
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

1851 Cheyenne Drive
(P.O. Box or Street Number)

Merced California 95348

_______________________________________________________________________________
(City) (State) (Zip Code)

(831 ) 756-9842 ( 831 )____________________

756-5230 ____________________________
Santanaulisses17@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Crew Member

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

Have 2 years of experience as a field crew member.
I have experience on harvesting many crops.

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 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 Mered High Merced,CA N/A 1 2 3 4 June, 2018 Diploma

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

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

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

10.00am-5.00pm Open-5.00pm Open-6.00pm 10.00am-5.00pm 12.00pm-9.00 Open-1.00pm Open-5.00pm

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:
crew member
Title__________________________Last July 25
Salary: _____________
Rava Ranches
_________________________________________________
06/15
______ 07/15
______
Mo / Yr Mo/Yr
Duties
700 Airport Road King City,CA
_________________________________________________
1
Total ____Yrs. ________Mo.
harvesting bell pepper. (831) 385-3285
_________________________________________________
6
Hours Per Week:_________
Reason For Leaving: _________________________________________________
Seasonal worker.
Supervisor’s Name: _________________________________________________
Antonio
_____________________________________________________

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.
Craig Deal 205 W Olive Ave, Merced, CA 95348 (209) 385-9856
Goverment Teacher
________________________________________________________________________________________________________________________________

2. Nicole Cecil 205 W Olive Ave, Merced, CA 95348 (209) 756-3178

Biology Teacher
________________________________________________________________________________________________________________________________

3.

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________