ROP APPLICATION

Directions: Please Print Legibly

Moreira
Joao Paulo
Marcolino
Name: __________________________________________

(Last)

(First)

04/18/2016
____________________

(Middle)

Date

3292 Loughborough Drive

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

California
Merced
95348
_______________________________________________________________________________

(City)

(209 ) 421-2096

(State)

(Telephone Number)

(Zip Code)

jmoreira105058@muhsdstudents.org
)____________________ ____________________________

(Alternative Telephone Number)

(Email Address)

Position applied for:_______________________________________________________________

Cashier
Skills and/or competencies which qualify you for this position:
I am organized, good communication skills, computer skills, responsible.

Portuguese and 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

General

1 2 3 4

In progress

High
school

Merced/California

College/
University

1 2 3 4

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Soccer Varcity team, Volleyball Club, Spanish Club.

FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

Anytime

1 to 11 PM

1 to 11 PM

1 to 11 PM

1 to 11 PM

1 to 11 PM

Anytime

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

Period of Employment
From:

Company Name, Address, and Phone Number

$ 700,00
Office Junior Assistant
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

Filed documents,Keep track of warehouse

materials ,Typed documents, Organized process

_________________________________________________

To:

08/12
______

12/14
______

Mo / Yr

Mo/Yr

4
2
Total ____Yrs.
________Mo.
20
Hours Per Week:_________
Reason For Leaving:
Moved to U.S

From:

Job Title and Duties Performed

Av. Rio Branco, 174- Centro Rio de Janeiro-RJ

Brazil 20040-003

+55 21 2277-4100

_________________________________________________
Supervisors Name:
Michelly Quintanilha
_____________________________________________________

_________________________________________________

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.

Andrea DeLeon

Complete Address (Include City, State, Zip)

205 W Olive Ave, Merced,CA 95348

Phone

Occupation_______

(209) 385-6465
Teacher

________________________________________________________________________________________________________________________________
2. Susan

Odishoo

205 W Olive Ave, Merced CA 95348

(209) 385-6465
Counselor

________________________________________________________________________________________________________________________________
3.

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________