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ROP APPLICATION
Directions: Please Print Legibly
Avina
Isaiah
Alexander
Name: __________________________________________

(Last)

(First)

2/17/15
____________________

(Middle)

Date

3755 Larkspur Ave

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

CA
Merced
95348
_______________________________________________________________________________

(City)

(State)

(209 ) 386-2485

(Zip Code)

i.avina0514@gmail.com
N/A
(
)____________________
____________________________
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

Sales Associate
Position applied for:_______________________________________________________________

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

Multi-lingual, selling shoes, stocking shoes, store maintenance, friendly and outgoing customer service,
handling money, and computer use.

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

_______________________
(Number)

RECORD OF EDUCATION

Name of School

City/State

Course of
study or
major

High School

Merced High School

College/
University
Other
(Specify)

Merced, CA

General
Education

Last year
completed

Did you
graduate?

Diploma
or degree

Pending

2015

1 2 3 4

1 2 3 4

N/A
1 2 3 4

N/A

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Various DECA community service activities.

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

Open-10pm

4pm-10pm

4pm-10pm

4pm-10pm

4pm-10pm

4pm-10pm

Open-Close

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
$8:00/comm
Title__________________________Last
Salary: _____________

Takken's
Shoes
_________________________________________________

Duties

504
Merced Mall
_________________________________________________

To:

8/2014
______

Present
______

Mo / Yr

Mo/Yr

2
1
Total ____Yrs.
________Mo.
20
Hours Per Week:_________
Reason For Leaving:

Providing friendly, and outgoing customer service.

Computer and register use. Store Maintenance.

Merced,
CA 95340
_________________________________________________

Supervisors Name:
Diego Ruiz-Contreras
_____________________________________________________

_________________________________________________

Title__________________________Last Salary: _____________

_________________________________________________

Duties:

_________________________________________________

1
(209) 723-4930
_________________________________________________

Still there.

From:

To:

______

______

Mo/ Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________

N/A

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:

N/A

_________________________________________________
_________________________________________________

Supervisors Name:
________________________________________________

_________________________________________________

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

Name
1.

Complete Address (Include City, State, Zip)

Phone

Occupation_______

540 Merced Mall

Diego Ruiz-Contreras

Merced, CA 95340

1 (209) 261-5209

General Manager

________________________________________________________________________________________________________________________________

302 West Olive Ave

2.

1 (209) 385-5464

Christopher Gratton

Swim Coach

Merced, CA 95348

________________________________________________________________________________________________________________________________

302 West Olive ave

3.

Steven Eccles

1 (209) 985-2486

Merced, CA 95348

Swim Coach

________________________________________________________________________________________________________________________________

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