ROP APPLICATION

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Name: ​Ramirez-Cruz, Ruby Carmen 5/16/19

(Last) (First) (Middle) Date

Present mailing address:​ 1177 Mirror Lake Dr.

(P.O. Box or Street Number)

Merced, California 95341

(City) (State) (Zip Code)

(209)631-9267​ (​209)631- 8237​ ​Cruznroob24@yahoo.com

(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for: Grocery store worker

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

I am a hard working person, I am a person who will get
something done on time and good. I don’t complain about
how much work I have to do and I will be helpful to
customers and employees.

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
or major
Last year
Name of School City/State: Merced complete
High School. Merced, California d 2019
Course Last year
of study complete
 d or
Did you degree
graduate Diploma
? Yes, or
diploma degree
Did you Diploma
graduate or
? degree
Did you Diploma
graduate or
? degree
Diploma

High School 1 2 3 4
Universit
y
College/ 1234

1234
Other (Specify) ​

List appropriate extracurricular activities, clubs, organizations and courses for this position: ​FULL TIME
AVAILABILITY ​PART TIME Soccer is a extracurricular activity that may have an issue with my availability. Part time.

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

RECORD OF EMPLOYMENT: ​(Begin with your most recent
job) N/A

Period of Employment Job Title and Duties Performed Company Name, Address, and Phone Number ​From: To:

______ ______ ​Mo / Yr _________________________________________________

Mo/Yr _________________________________________________

Total ____Yrs.
_________________________________________________
________Mo.

Hours Per _________________________________________________

Week:_________ Reason
For Leaving: _________________________________________________
_Last Salary: _____________

o:

______ ​Mo/ Yr

_Yrs.
_Mo.
Supervisor’s Name:
_____________________________________________________
r
_________________________________________________
_______ Reason
_________________________________________________
ng:
 Title__________________________Last Salary: _____________
_Mo.

r
_______ Reason
ng:
_________________________________________________ Title___________________________Last Salary: ____________

_________________________________________________
_________________________________________________

_________________________________________________

_________________________________________________
Supervisor’s Name:
________________________________________________
Supervisor’s Name:
_________________________________________________
________________________________________________
_________________________________________________

_________________________________________________

From: To: _________________________________________________

______ ______ ​Mo /Yr _________________________________________________

Mo/Yr

_________________________________________________
_________________________________________________
RENCES: ​Give the names of three persons not related to you.
Total ____Yrs.

Name Complete Address (Include City, State, Zip) Phone Occupation_______ 1.

________________________________________________________________________________________________________________________________

2.

________________________________________________________________________________________________________________________________

3.

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application. I

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

Date: 3/16/19 Signature:_ Ruby Ramirez

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