ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Aguirre Anessah Aleece ____________________
09/04/2019
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

219 El Potal Dr
(P.O. Box or Street Number)

Merced California 95340

_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 2011767 ( 209 )____________________

2617880 ____________________________
anessah01@yahoo.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Teachers Assistant

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

Dependable, skillful, respectful, hard working, ambitious, and willing to work my hardes to get the job done.

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

N/A

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 School Merced CA 1 2 3 4 Yes Diploma

College/ 1 2 3 4
Merced Junior college Merced CA Liberal N/A N/A
University
studies
Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Leadership, FFA, Avid, Freshman/JV volleyball.

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

Anytime Anytime Anytime Anytime Anytime Anytime Anytime

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:
Barista
Title__________________________Last 12.00
Salary: _____________
Starbucks Olive & M (209)628-5583
_________________________________________________
11/12
______ Current
______
Mo / Yr Mo/Yr
Duties _________________________________________________
5
Total ____Yrs. ________Mo.
Cleaning, Customer Serivice, working with cash, _________________________________________________
20
Hours Per Week:_________ preparing drinks/foods
Reason For Leaving: _________________________________________________

Supervisor’s Name: _________________________________________________

MArisol Garcia
_____________________________________________________

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.
Sandra Hernandez Merced California 95340 (209)6319028
Four Winds Foundati
________________________________________________________________________________________________________________________________

2. Merced California 95340 lgentry@muhsdstud

Lindsay Gentry ents.org Merced High School
________________________________________________________________________________________________________________________________

3. Marisol Garcia Merced California 95340 (209)947-2132

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________