ROP APPLICATION

Directions: Please Print Legibly

Moua
Brandon
Name: __________________________________________

(Last)

(First)

02-04-15
____________________

(Middle)

Date

3137 Navajo Ct.

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

California
Merced
95340
_______________________________________________________________________________

(City)

(State)

( 209 ) 201-2290

(Zip Code)

bmoua143@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:

One of my strongest skills is communication.

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

Hmong
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
High School

City/State

Merced High School

College/
University

N/A

Other
(Specify)

N/A

Course of
study or
major

Merced, CA

General
Education

Last year
completed
1 2 3 4

Did you
graduate?

Diploma
or degree

Pending
2015

Pending
2015

1 2 3 4

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
ROP Marketing Foundations CC

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

Open - 10pm

4pm-10pm

4pm-10pm

4pm-10pm

4pm-10pm

4pm-Close

Open-Close

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

Period of Employment
From:

Company Name, Address, and Phone Number

ROP
Service and Kitchen Team Salary: _____________
Title__________________________Last

_________________________________________________

Duties

_________________________________________________

Prep Food, Serve Food, Cook Food, and Wash

Dishes.

_________________________________________________

To:

01/15
______

Present
______

Mo / Yr

Mo/Yr

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

From:

Job Title and Duties Performed

710 Merced Mall, Merced, CA 95340

01/15
______

Mo/ Yr

Mo/Yr

3
Total ____Yrs. ________Mo.

Supervisors Name:
Veronica Lopez
_____________________________________________________

_________________________________________________

ROP
Title__________________________Last
Salary: _____________
Sales Associate

_________________________________________________

Duties:

_________________________________________________

Customer Service, Stock Shoes,

_________________________________________________

Foot Locker

780 Merced Mall, Merced, CA 95340

Hours Per Week:_________

8
Reason For Leaving:

(209) 383-1589

_________________________________________________

Wanting to expand my
experience and opportunity Supervisors Name:
Josiah Gurrola
________________________________________________
with other jobs.
From:

(209) 383-0901

_________________________________________________

To:

09/14
______

Panda Express

_________________________________________________

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.

Chimeng Yang

Complete Address (Include City, State, Zip)

8175 Heflin Court Sacramento CA, 95828

Phone

(916) 769-3130

Occupation_______

Academic Advisor

________________________________________________________________________________________________________________________________
2. Lisa

Escobedo

205 West Olive Ave. Merced CA, 95340

(209) 617-4628
Teacher

________________________________________________________________________________________________________________________________
3.

Veronica Lopez

710 Merced Mall, Merced, CA, 95340

(209) 383-0901
Restaurant Manager

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________