CTE Job Application

Employment Application
Applicant Information
Full Name: Anguiano Gloria Date: 03/28/2017
Last First M.I.

Address: 422 Lesher Dr. 228

Street Address Apartment/Unit #

Merced CA 95341
City State ZIP Code

Phone: (209)658-9582 Email gloriaanguiano45@gmail.com

Position Applied for: sales associate

Language spoken and/or written (other than English): spanish

Skills and/or competencies which

qualify you for this position: experience as stocking clerk, excellence customer service

YES NO
Do you possess a valid California Drivers License? Number

YES NO
Have you ever been convicted of a felony?

If yes, explain:

List appropriate extracurricular activities, clubs, organizations and courses for this position
N/A
Education
High School: Merced Scholar Charter School City/State: Merced CA
YES NO
To: may 2017 Diploma: pending
march 2017
From: Did you graduate?
College: N/A City/State:

YES NO
From: To: Did you graduate? Degree:

Other: N/A City/State:

YES NO
From: To: Did you graduate? Degree:

Full Time
Part Time

Availability
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
11AM-5PM 11AM-5PM 11AM-5PM 11AM-5PM 11AM-PM 11AM-5PM 11AM-5PM

1
 Previous Employment
Employer: Buy and Bye Market Phone: (209)723-6601
Address: 1108 G St, Merced CA Supervisor: David
Job Title: Stock
Responsibilities: Stock and assist customers
From: August 2013 To: June 2014 Reason for Leaving: other responsibilities
YES NO
May we contact your previous supervisor for a reference?
Employer: N/A Phone:
Address: Supervisor:
Job Title:
Responsibilities:
From: To: Reason for Leaving:
YES NO
May we contact your previous supervisor for a reference?

Employer: N/A Phone:

Address: Supervisor:
Job Title:
Responsibilities:
From: To: Reason for Leaving:
YES NO
May we contact your previous supervisor for a reference?

References
Please list three references.

Full Name: Deb Woody Relationship: Teacher

Company: Merced Scholars Charter School Phone: (209)381-4516
Address: 1850 Wardrobe Ave, Merced CA 95341

Full Name: Mayra Arellano Relationship: Teachers Aide

Company: Merced Scholars Charter School Phone: (209)381-6541
Address: 1850 Wardrobe Ave, Merced CA 95341

Full Name: Natalie DalPorto Relationship: Teacher

Company: Merced Scholars Charter School Phone: (209)381-6541
Address: 1850 Wardrobe Ave, Merced CA 95341

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or
interview may result in my release. (please sign in ink)

Signature: Date: