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ROP APPLICATION
Directions: Please Print Legibly
Yamilex
Name: Ruiz
__________________________________________

(Last)

(First)

05-04-2014
____________________

(Middle)

Date

4061 Rutgers Ct.

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

CA
Merced
95348
_______________________________________________________________________________

(City)

(209 ) 489-5324

(State)

(Telephone Number)

(Zip Code)

)____________________ yamilexruiz17@gmail.com
____________________________

(Alternative Telephone Number)

(Email Address)

Retail Loss Prevention Associate

Position applied for:_______________________________________________________________

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

Hard working, quick learner, bilingual, enthusiastic, works well with others

Spanish
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 Drivers License?

No

Yes

_______________________
F3530469
(Number)

RECORD OF EDUCATION

Name of School

City/State

Course of
study or
major

High School

Last year
completed

Did you
graduate?

Diploma
or degree

Yes

Diploma

1 2 3 4

Merced High School

Merced, CA

College/
University

1 2 3 4

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Link Crew member, CSF, Key Club, Soccer Club, ASSESTS Volunteer

FULL TIME

AVAILABILITY
SUNDAY

Any time

MONDAY

PART TIME

TUESDAY

WEDNESDAY

THURSDAY

3pm-closing

3pm-closing

Any time

FRIDAY

SATURDAY

8am-3pm

RECORD OF EMPLOYMENT: (Begin with your most recent job)

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

Title__________________________Last Salary: _____________

_________________________________________________

Duties

_________________________________________________

To:

______

______

Mo / Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________
Hours Per Week:_________
Reason For Leaving:

From:

_________________________________________________
Supervisors Name:
_____________________________________________________

_________________________________________________

Title__________________________Last Salary: _____________

_________________________________________________

Duties:

_________________________________________________

To:

______

______

Mo/ Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________

Reason For Leaving:

_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________

From:

To:

______

______

Mo /Yr

Mo/Yr

Title___________________________Last Salary: ____________

_________________________________________________

Duties:

_________________________________________________

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________

Reason For Leaving:

_________________________________________________

Supervisors Name:
________________________________________________

_________________________________________________

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

Name
1.

Complete Address (Include City, State, Zip)

Phone

Occupation_______

3665 Loyola Ct., Merced, CA 95348

Daniel Verduzco

(951)221-7455

Sales Assc.

________________________________________________________________________________________________________________________________

1735 Canal St Suite 12, Merced, CA 95340

2.

(209)261-4580

Soy Torres

Public relations

________________________________________________________________________________________________________________________________

3205 Nottingham Ave., Merced, CA 95340

3.

Julian Pena

(209)947-5091

Graphic Designer

________________________________________________________________________________________________________________________________

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