ROP APPLICATION

Directions: Please Print Legibly

Renteria
Cynthia
Name: __________________________________________

(Last)

(First)

May 8 2015
____________________

(Middle)

Date

1279 Daylight Dr.

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

Ca
Merced
95348
_______________________________________________________________________________

(City)

(State)

(209 ) 947-5205

(Zip Code)

cynthia.rent13@gmail.com
947-5205
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

Position applied for:_______________________________________________________________

Drafter
Skills and/or competencies which qualify you for this position:
Well organized, detailed oriented, creative and a lover of buildings and drafting

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

_______________________
(Number)

RECORD OF EDUCATION

Name of School
High School

College/
University

City/State

Merced High

Merced Ca

Cal Poly

San Luis Obispo

Course of
study or
major

Last year
completed

Did you
graduate?

Diploma
or degree

N/A

1 2 3 4

Yes

Diploma

1 2 3 4

N/A

N/A

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Beginning Drafting Course at Merced High
2 years of art
FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

All Day

After 4 pm

After 4 pm

After 4 pm

After 4 pm

After 4 pm

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

$0
Teacher Assitant
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

Helped the teacher as an assistant doing roll call

and often teaching the class with my own material

_________________________________________________

To:

9/11
______

4/14
______

Mo / Yr

Mo/Yr

3
Total ____Yrs.
________Mo.
1& 1/2
Hours Per Week:_________
Reason For Leaving:
I couldn't find a ride to go
anymore

From:

Our Lady of Mercy

1400 E, 27th Street Merced Ca. 95340

(209) 722-7496

_________________________________________________
Supervisors Name:
Debbie
_____________________________________________________

_________________________________________________

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.

Karen Little

Complete Address (Include City, State, Zip)

205 W. Olive Ave Merced Ca 95340

Phone

Occupation_______

(209) 489-1576
Teacher

________________________________________________________________________________________________________________________________
2. Sarah

Hill

205 W. Olive Ave Merced Ca 95340

(209) 261-9292
Teacher

________________________________________________________________________________________________________________________________
3. John

Kane

205 E. 21st Merced Ca95340

(209) 261-8529
Teacher

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________