ROP APPLICATION

Directions: Please Print Legibly

Villarreal
Hazel
Marie
Name: __________________________________________

(Last)

(First)

4/28/15
____________________

(Middle)

Date

7003 W. 23rd st.

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

CA
Merced
95340
_______________________________________________________________________________

(City)

(209 ) 631-4496
(Telephone Number)

(State)

(Zip Code)

hazelvillarreal01@yahoo.com
2547885
( 831 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

Position applied for:_______________________________________________________________

Makeup Artist (Counter)
Skills and/or competencies which qualify you for this position:
quality customer service, makeup experience, bilingual

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

_______________________
F700000
(Number)

RECORD OF EDUCATION

Name of School

City/State

Course of
study or
major

Last year
completed

Did you
graduate?

Diploma
or degree

High School

Merced High School

Merced, CA

N/a

1 2 3 4

Yes

Diploma

College/
University

Monterey Peninsula
College

Monterey, CA

RN

1 2 3 4

pending

pending

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Cosmotology club, volunteer at Bellas Beauty Salon

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

open

4pm-open

3pm-open

4pm-open

3pm-open

open

open

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

volunteer
Child Care
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

took care of 2 kids, fed them.. etc.

_________________________________________________

To:

03/15
______

04/15
______

Mo / Yr

Mo/Yr

2 weeks
n/a
Total ____Yrs.
________Mo.
20
Hours Per Week:_________
Reason For Leaving:
their mom quit work

From:

_________________________________________________
Supervisors Name:
n/a
_____________________________________________________

_________________________________________________

volunteer
Title__________________________Last
Salary: _____________
Courthouse Greeter

_________________________________________________

Duties:

_________________________________________________

greet people, show them around, offer help, answer

any questions

_________________________________________________

To:

07/14
______

02/15
______

Mo/ Yr

Mo/Yr

5
Total ____Yrs. ________Mo.
Hours Per Week:_________
3
Reason For Leaving:

n/a

Merced Courthouse
W. 21st & N st

Merced CA 95340

_________________________________________________
_________________________________________________
Supervisors Name:
Jorge Aguayo
________________________________________________

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.

Adela Rodriguez

Complete Address (Include City, State, Zip)

0007 W platt ave Fresno CA

Phone

Occupation_______

559-455-6789
sales associate

________________________________________________________________________________________________________________________________
2. Hilda

Muratalla

088000 w 22nd st

209-333-4455
campus liason

________________________________________________________________________________________________________________________________
3. Stephanie

Barajas

000 E. 9th st Fresno CA

559-768-9109
sales associate

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________