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ROP APPLICATION
Directions: Please Print Legibly
Jessica
Rose
Name: Gomez
__________________________________________

(Last)

(First)

02/03/2015
____________________

(Middle)

Date

1051 west 20th street

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

CA
Merced
95340
_______________________________________________________________________________

(City)

(State)

(209 ) 947-1304

(Zip Code)

jgomez101949@muhsdstudents.org
617-5188
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

Sales Associate
Position applied for:_______________________________________________________________

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

I have outgoing personality and i have great commutations skills. I am an organized person. I have
outstanding computer skills. I love working with people, i will work with anyone and anyone who needs help.
I am always the 1st one there and they last one to leave.

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

N/A
If yes, explain:________________________________

Do you possess a valid California Drivers License?

No

Yes

_______________________
N/A
(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

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:
N/A

FULL TIME

AVAILABILITY
SUNDAY

MONDAY

TUESDAY

4pm-10pm

4pm-10pm

WEDNESDAY

PART TIME

THURSDAY

FRIDAY

SATURDAY

4pm-10pm

4pm-10pm

4pm-10pm

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
$0
Title__________________________Last
Salary: _____________

Rainbow,
1388 West Olive Avenue, Merced, CA
_________________________________________________

Duties

(209)
726-8715
_________________________________________________

Clean, Great costumer, Hang-up Clothes, Fix

clothes.

_________________________________________________

To:

01/12
______

______

Mo / Yr

Mo/Yr

2
Total 0
____Yrs. ________Mo.
8
Hours Per Week:_________
Reason For Leaving:

_________________________________________________

N/A

From:

Supervisors Name:
Tammy Rhinehart
_____________________________________________________

_________________________________________________

Title__________________________Last
Salary: _____________
N/A

_________________________________________________

Duties:

_________________________________________________

To:

______

______

Mo/ Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________

Reason For Leaving:

_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________

From:

To:

______

______

Mo /Yr

Mo/Yr

N/A
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_______

1900 G Street, Merced, CA 95340

(209) 385-6425

Erika Cline

Teacher

________________________________________________________________________________________________________________________________

1900 G Street, Merced, CA 95340

2.

Letica Flores

(209) 385-6425

Teacher

________________________________________________________________________________________________________________________________

1388 West Olive Avenue, Merced, CA 95348

3.

(209) 726-8715

Tammy Rhinehart

Manger of Rainbow

________________________________________________________________________________________________________________________________

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