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ROP APPLICATION
Directions: Please Print Legibly
Abarca-Delgado
Adelina
Name: __________________________________________

(Last)

(First)

4/13/16
____________________

(Middle)

Date

1082 E. Alexander Ave.

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

CA
95340
Merced
_______________________________________________________________________________

(City)

(State)

( 209 ) 4211484

(Zip Code)

abarcaadelina14@gmail.com
6008862
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

Sonic team member

Position applied for:_______________________________________________________________

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

Outgoing , friendly , and bilingual

Languages spoken and/or written (other than English):___________________________________

Spanish
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

High School

Name of School

City/State

Merced High School

Merced, CA

Course of
study or
major

Last year
completed
1 2 3 4

College/
University

Did you
graduate?

Diploma
or degree

Yes

Diploma

1 2 3 4

Other
(Specify)

1 2 3 4

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

FULL TIME

AVAILABILITY
SUNDAY

Full time

MONDAY

TUESDAY

4-10

WEDNESDAY

4-10

THURSDAY

4-10

FRIDAY

4 -10

PART TIME

SATURDAY

Full time

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

Title__________________________Last Salary: _____________

_________________________________________________

Duties

_________________________________________________

To:

______

______

Mo / Yr

Mo/Yr

Total ____Yrs. ________Mo.

_________________________________________________
Hours Per Week:_________
Reason For Leaving:

From:

_________________________________________________
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.

Jesse Flores

Complete Address (Include City, State, Zip)

Phone

Occupation_______

205 W Olive Ave, Merced, CA 95348

Tabs Teacher

________________________________________________________________________________________________________________________________
2. John

Long

205 W Olive Ave, Merced, CA 95348

English Teacher

________________________________________________________________________________________________________________________________
3.

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Adelina Abarca-Delagdo
4/13/16
Date:_________________________Signature:_________________________________________________________________

N:\ROP\Charlotte Klock\ROP Forms\Forms\ROP Job Application with availbility back-for fillable.rtf

Revised 7/10