ROP APPLICATION

Directions: Please Print Legibly

Reynolds
Alyssa
Rose
Name: __________________________________________

(Last)

(First)

04.01.2015
____________________

(Middle)

Date

45 Silverhorn ct. Apartment #37

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

California
Merced
95340
_______________________________________________________________________________

(City)

(State)

(813 ) 464.9512

(Zip Code)

areynolds702354@muhsdstudents.org
720.9762
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

Position applied for:_______________________________________________________________

Server/Bartender
Skills and/or competencies which qualify you for this position:
People person, quick on my feet, efficientally & effectively use my time while working, can easily learn & be
a team player or a leader.

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

Course of
study or
major

Last year
completed

Did you
graduate?

Diploma
or degree

ALLA

1 2 3 4

Yes

Diploma

Merced CA

College/
University

1 2 3 4

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
I have sang in a band for three years as well as street performing as a hooper in my spare time while I am not
working, so I am not shy in front of people at all & I love to love & be happy to be around others.
FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

4pm-11pm

3pm-11pm

3pm-11pm

xx

xx

xx

7am-2pm

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

Server-Host
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

serve tables, get drinks, buss tables, greet

customers, take cash/credit cards

_________________________________________________

To:

2013
______

current
______

Mo / Yr

Mo/Yr

Total ____Yrs. ________Mo.

Hours Per Week:_________
Reason For Leaving:

From:

Paul's Place Restaurant & Bakery 2991 G Street

Merced California 95340

_________________________________________________
Supervisors Name:
_____________________________________________________

_________________________________________________

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.

Complete Address (Include City, State, Zip)

Dustin Ybarra

Phone

Occupation_______

209.631.9961
Manager, Paul's Plac

________________________________________________________________________________________________________________________________
2. Paul

209.769.5008

Ybarra

Owner, Paul's Place

________________________________________________________________________________________________________________________________
3. Todd

Giardina

2173 King Arther ct Merced CA 95340

209.505.9500
Salesmen, DiMare &

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________