ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Bittner Neva Sierra ____________________
4/14/18
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

1665 East 27th street
(P.O. Box or Street Number)

Merced CA 95341
_______________________________________________________________________________
(City) (State) (Zip Code)

(559 ) 760-1732 ( 209 )____________________

206-3180 ____________________________
neva.sierra@yahoo.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

esthetician

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

I am experienced with massage, makeup and hair.

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 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 Merced High Merced/CA 1 2 3 4 still enrolled

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
GreenTEC, yearbook, child development

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

2p.m.-9p.m 2p.m.-9p.m 2p.m-9p.m 2p.m-9p.m 10a.m- 6p.m

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:
auto technician assistant
Title__________________________Last $20 per hour
Salary: _____________
JBC, Merced, (559)-676-6249
_________________________________________________
6/16
______ 7/16
______
Mo / Yr Mo/Yr
Duties _________________________________________________
2
Total ____Yrs. ________Mo.
change oil, brakes, tires. clean up shop at the end _________________________________________________
40
Hours Per Week:_________ of the day
Reason For Leaving: _________________________________________________
school
Supervisor’s Name: _________________________________________________
Jacob Bittner
_____________________________________________________

From: To:
$15 per hour no company, Merced/Mariposa
housekeeper
Title__________________________Last Salary: _____________ _________________________________________________
6/17
______ 7/17
______
Mo/ Yr Mo/Yr Duties: _________________________________________________
2
Total ____Yrs. ________Mo. clean up shops, offices, and homes. vacuuming, _________________________________________________
32
Hours Per Week:_________ sweeping, mopping, dishes, laundry, etc
Reason For Leaving: _________________________________________________

school _________________________________________________
Supervisor’s Name:
multiple clients
________________________________________________

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.
Khari Boykin Merced, CA, 95341
GreenTEC teacher
________________________________________________________________________________________________________________________________

2. Patty Ruggiero Merced. CA, 95341 (209)-206-3180

retired apt manager
________________________________________________________________________________________________________________________________

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:_________________________________________________________________