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ROP APPLICATION
Directions: Please Print Legibly
Martinez Edgar Ivan
Name: __________________________________________

(Last)

(First)

____________________

(Middle)

Date

Present mailing address:___________________________________________________________

2895 Oleander ave
(P.O. Box or Street Number)
CA
Merced
95340
_______________________________________________________________________________

(City)

(State)

( 831 ) 406 2522

(Zip Code)

emartinez105036@muhsdstudents.org
( 831 )____________________
____________________________
707 5862
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

Sales Associate
Position applied for:_______________________________________________________________

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

-Patient
-calm
-attentive
-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

_______________________
(Number)

RECORD OF EDUCATION

Name of School
High School

City/State

Merced High School

Course of
study or
major

Last year
completed

Did you
graduate?

Diploma
or degree

GE

1 2 3 4

pending
2016

pending
2016

Merced/CA

College/
University

NA

1 2 3 4

Other
(Specify)

NA

1 2 3 4

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

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

open-10pm

4-10pm

4-10pm

4-10pm

4-10pm

4-10pm

open-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

NA
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

To:

______

______

Mo / Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________
Hours Per Week:_________
Reason For Leaving:

From:

_________________________________________________
Supervisors Name:
_____________________________________________________

_________________________________________________

Title__________________________Last
Salary: _____________
NA

_________________________________________________

Duties:

_________________________________________________

To:

______

______

Mo/ Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________

Reason For Leaving:

_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________

From:

To:

______

______

Mo /Yr

Mo/Yr

NA
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.

Lori button

Complete Address (Include City, State, Zip)

205 west olive ave

Phone

Occupation_______

385 6450

clerk typist
________________________________________________________________________________________________________________________________
2. Alma

Griffin

205 west olive ave

385 6460
clerk typist 2

________________________________________________________________________________________________________________________________
3.

Jina Young

205 west olive ave

385 6451
attendance secretary

________________________________________________________________________________________________________________________________

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