ROP APPLICATION

Directions: Please Print Legibly

Waite
Molly
C
Name: __________________________________________

(Last)

(First)

04/22/15
____________________

(Middle)

Date

63 W 22nd St.
Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

CA
Merced
95340
_______________________________________________________________________________

(City)

(209 ) 631-7342
(Telephone Number)

(State)

(Zip Code)

mwaite702215@muhsdstudents.org
631-7342
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

Position applied for:_______________________________________________________________

(OS) Operation Specialist
Skills and/or competencies which qualify you for this position:
Skills that I have that I could use to my ability are, I'm patient, detail-oriented, and I have the abilty to work
under pressure.

N/A
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

_______________________
F5708565
(Number)

RECORD OF EDUCATION

Name of School
High School

City/State

Merced High School

Course of
study or
major

Merced, CA

College/
University

College
Prep

Last year
completed

Did you
graduate?

Diploma
or degree

1 2 3 4

Pending
June 2015

Diploma

1 2 3 4

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Throughout my high school career I have been enrolled in two computer classes that have not only made me
proficent in working computers but also working in programs such as microsoft, photoshop and Adobe illustrator.
FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

8 am - 5 pm

8 am - 5 pm

8 am - 5 pm

8 am - 5 pm

8 am - 5 pm

8 am - 5 pm

8 am - 5 pm

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

$9.00
Sales Associate
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

Communicating with customers, maintain clean

work enviroment and handle sales transactions.

_________________________________________________

To:

11/14
______

01/15
______

Mo / Yr

Mo/Yr

3
0
Total ____Yrs.
________Mo.
4
Hours Per Week:_________
Reason For Leaving:
Seasonal Job

From:

280 Merced Mall

11/14
______

Mo/ Yr

Mo/Yr

2
1
Total ____Yrs.
________Mo.
Hours Per Week:_________
4-5
Reason For Leaving:

Merced, CA 95348
(209) 722-5175

_________________________________________________
Supervisors Name:
Amanda Hull
_____________________________________________________

_________________________________________________

$9.00
Title__________________________Last
Salary: _____________
Official Referee

_________________________________________________

Duties:

_________________________________________________

Influencing both the pace and outcome of the game

while following the official rules

_________________________________________________

To:

09/13
______

Aeropostale

Merced Youth Soccer Association

410 W. Main St.

Merced, CA 95340
(209) 384-2417

_________________________________________________

Seasonal

_________________________________________________
Supervisors Name:
Tim Olson
________________________________________________

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.

Jim Kessler

Complete Address (Include City, State, Zip)

5200 N Lake Rd

Phone

Occupation_______

209-947-3203
Human Resources

Merced, CA 95340

________________________________________________________________________________________________________________________________
2. Amanda

Galan

205 W Olive Ave.

209-769-0092
Ag. Teacher/ Advisor

Merced, CA 95344

________________________________________________________________________________________________________________________________
3. Tracy

England

5200 N Lake Rd.

209-321-3288

Merced, CA 95340

UC Admin

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________