ROP APPLICATION

Directions: Please Print Legibly

Cruz
Carlos
Emilio
Name: __________________________________________

(Last)

(First)

4/29/2015
____________________

(Middle)

Date

222 W. 27th St.

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

California
Merced
95340
_______________________________________________________________________________

(City)

(567 ) 343-6939

(State)

(Telephone Number)

(Zip Code)

ccruz702051@muhsdstudents.org
)____________________ ____________________________

(Alternative Telephone Number)

(Email Address)

Position applied for:_______________________________________________________________

Cashier
Skills and/or competencies which qualify you for this position:
Hard working, attentive to detail, and willing to cooperate with co-workers.

None
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
High School

City/State

Merced High School

Course of
study or
major

Merced, CA

College/
University

Last year
completed

Did you
graduate?

1 2 3 4

Not yet

Diploma
or degree

1 2 3 4

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

All day

All day

All day

All day

All day

All day

All day

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

$756
Carpenter
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

Making cabinets and installing cabinets and talking

with customers.

_________________________________________________

To:

8/2013
______

4/15
______

Mo / Yr

Mo/Yr

8
1
Total ____Yrs.
________Mo.
21
Hours Per Week:_________
Reason For Leaving:
Needed a higher wage.

From:

P & L Cabinets

(209) 724-0226

_________________________________________________
Supervisors Name:
Patrick Valenzuela
_____________________________________________________

_________________________________________________

Title__________________________Last Salary: _____________

_________________________________________________

Duties:

_________________________________________________

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.

Shawn Pintor-Day

Complete Address (Include City, State, Zip)

Phone

Occupation_______

1 (209) 756-6792

________________________________________________________________________________________________________________________________
2. Brandon

Leija

1 (209) 230-0136

________________________________________________________________________________________________________________________________
3. Kyle

Osteeras

1 (209) 628-4399

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________