ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Soria-Zarate Raquel ____________________
April 25, 2017
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

2976 Hampshire Ct.
(P.O. Box or Street Number)

Merced CA 95340
_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 201-4462 ( 209 )____________________

205-8355 ____________________________
raquelsoria72@yahoo.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Veterinary Assistant

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

Passion for animals
Communication skills

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
Course of
study or Last year Did you Diploma
Name of School City/State major completed graduate? or degree
High School Merced High School Merced, CA N/A 1 2 3 4 Yes Diploma

College/ 1 2 3 4
Merced Community Merced, CA Animal Yes A.A.
University
College Science
Other
UC Davis Davis, CA Animal 1 2 3 4 Yes B.S.
(Specify)
Science

List appropriate extracurricular activities, clubs, organizations and courses for this position:
A member of the Veterinary Science CDE Team for 2 years.
A member of FFA for 2 years.

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

2 a.m.- 12a.m. 4p.m.-10p.m 4p.m.-10p.m. 4p.m.-10p.m. 4p.m.-10p.m. 4p.m.-10p.m. N/A

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

Period of Employment Job Title and Duties Performed Company Name, Address, and Phone Number
From: To:
Title__________________________Last Salary: _____________ _________________________________________________
______ ______
Mo / Yr Mo/Yr
Duties _________________________________________________
Total ____Yrs. ________Mo.
_________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

Supervisors Name: _________________________________________________

_____________________________________________________

From: To:
Title__________________________Last Salary: _____________ _________________________________________________
______ ______
Mo/ Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

_________________________________________________
Supervisors Name:
________________________________________________

From: To:
Title___________________________Last Salary: ____________ _________________________________________________
______ ______
Mo /Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

_________________________________________________
Supervisors Name:
________________________________________________

REFERENCES: Give the names of three persons not related to you.

Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
Linda Clinton 567 Tulare Av. (209) 777-6342
Agricultre Teacher
Le Grand, CA 95365
________________________________________________________________________________________________________________________________

2. Lilyan Gonzalez 8925 Nothingham Ct. (209) 201-4863

Veterinarian
Merced, CA 95340
________________________________________________________________________________________________________________________________

3. Katalina Vang 3274 Hoover Rd. (209) 567-1003

Psycologist
Merced, CA 95340
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________

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