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ROP APPLICATION
Directions: Please Print Legibly
Debbie Padi
Name: Yang
__________________________________________

(Last)

(First)

February 03, 2015

____________________

(Middle)

Date

2273 Fern St
Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

California
Merced
95348
_______________________________________________________________________________

(City)

(209 ) 386-2147

(State)

(Telephone Number)

(Zip Code)

)____________________ debbieyang97@yahoo.com
____________________________

(Alternative Telephone Number)

(Email Address)

Sales Associate
Position applied for:_______________________________________________________________

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

Customer service experience, communicating effectively,

Hmong
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

_______________________
(Number)

RECORD OF EDUCATION

Name of School

City/State

Course of
study or
major

High School

Merced High School

Merced/CA

College/
University

Last year
completed

Did you
graduate?

Diploma
or degree

1 2 3 4

Pending
2015

Pending
2015

G.E
1 2 3 4

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Leo Club, Asian Club, R.O.P Marketing

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

Open - 7pm

4pm - 10pm

4pm - 10pm

4pm - 10 pm

4pm - 10pm

4pm - 11pm

9am - 8pm

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

Sales Associate
R.O.P
Title__________________________Last
Salary: _____________

Styles
For Less
_________________________________________________

Duties

220
Merced Mall, 851 W Olive Ave
_________________________________________________

To:

01/15
______

present
______

Mo / Yr

Mo/Yr

3
Total ____Yrs. ________Mo.
8
Hours Per Week:_________
Reason For Leaving:

From:

Greet customers, shipment, tidy clothes, check

merchandise,

Merced,
CA, 95341
_________________________________________________

Supervisors Name:
Crystal Cesena
_____________________________________________________

_________________________________________________

Title__________________________Last Salary: _____________

_________________________________________________

Duties:

_________________________________________________

(209)
384 - 3185
_________________________________________________

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_______

205 Olive Ave Merced, CA, 95341

Lisa Escobedo

(209)617-4628

Marketing teacher

________________________________________________________________________________________________________________________________

205 Olive Ave Merced, CA 95341

2.

(209)385-6465

Dawn Garrett

English 3 Teacher

________________________________________________________________________________________________________________________________

220 Merced Mall, 851 Olive Ave, Merced, CA 95341

3.

Crystal Cesena

(209)384-3185

Manager/Supervisor

________________________________________________________________________________________________________________________________

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