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ROP APPLICATION
Directions: Please Print Legibly

Name: __________________________________________
Sepulveda Alexis Pedro ____________________
5-15-19
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________


2936 recad ave
(P.O. Box or Street Number)

Merced California 95348


_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 344-4324 ( 209 )____________________


367-3436 ____________________________
alexxsepulveda.53@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________


Entry level

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


Excellent Communication skills, Excellent Social skills, Ability to operate computer, ability to operate
computer programs.

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


Spansih

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 _______________________
Y3456545
(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 General 1 2 3 4 pending Diploma
2019
College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Merced High Varsity foorball, Bears give back, Gatewat Scholars.

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

No Yes yes no yes yes No


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:
Stage Builder
Title__________________________Last N/A
Salary: _____________
J.O Studios
_________________________________________________
08/18
______ 05/19
______
Mo / Yr Mo/Yr
Duties
345 saint john Ave. Merced, CA 95348
_________________________________________________
0
Total ____Yrs. 9
________Mo.
Help build stages, plug in electronical devices (209)345-2344
_________________________________________________
4
Hours Per Week:_________
Reason For Leaving: _________________________________________________
School interfered
Supervisor’s Name: _________________________________________________
Julio Ortiz
_____________________________________________________

From: To:
N/A Levi's stadium security
Security
Title__________________________Last Salary: _____________ _________________________________________________
12/18
______ 04/19
______
Mo/ Yr Mo/Yr Duties:
897 Collins Ave. Merced, CA 95348
_________________________________________________
0
Total ____Yrs. 5
________Mo. Gate keeper, field security (209)123-4321
_________________________________________________
8
Hours Per Week:_________
Reason For Leaving: _________________________________________________

N/A _________________________________________________
Supervisor’s Name:
Ronnie Miranda II
________________________________________________

From: To:
Cashier
Title___________________________Last N/A
Salary: ____________
Fruta loca
_________________________________________________
01/15
______ 01/16
______
Mo /Yr Mo/Yr Duties:
789 San luis St. Merced ,CA 95348
_________________________________________________
2
Total ____Yrs. 0
________Mo. Handle currency, cook, (209)349-5467
_________________________________________________
8
Hours Per Week:_________
Reason For Leaving: _________________________________________________

School Interfered _________________________________________________


Supervisor’s Name:
Matthew Calderon
________________________________________________

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


Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
Julio Ortiz 345 saint john Ave. Merced, CA 95348 (209)345-2344
Ceo J.O. Studios
________________________________________________________________________________________________________________________________

2. Mathew Calderon 897 Collins Ave. Merced, CA 95348 (209)123-4321


Ceo Fruta loca
________________________________________________________________________________________________________________________________

3. Ronnie Miranda II 789 San luis St. Merced ,CA 95348 (209)349-5467
Manager at Levis
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.


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

Date:_________________________Signature:_________________________________________________________________

N:\ROP\Charlotte Klock\ROP Forms\Forms\ROP Job Application with availbility back-for fillable.rtf Revised 7/10

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