ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Saephanh Mackenzie Chio Ching ____________________
May 5th, 2017
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

629 Colgate Court
(P.O. Box or Street Number)

Merced California 95348

_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 761-0553 ( 209 )____________________

722-1660 ____________________________
Kenzietenten@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Computer Scientist for Adobe Photoshop

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

Extensive experience with Photoshop, experience with multiple programming languages (Css, C++, HTML,
Python), have worked with Arduinos. Experience with giving prfoessional pitches/presentations. Experience
with Powerpoint and Excel. Fluent in speaking English, Mien, and profiency in speaking Spanish.

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

Mien

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 _______________________
Y3017619
(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 NA 1 2 3 4 Yes Diploma

College/ 1 2 3 4
Fresno State University Fresno, Ca Computer NA NA
University
Science
Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Senior Class Secretary for Merced High Leadership, Kiwins Freshman Representative, leo Club Secretary,
Girls Who Code Alumni, Iu Mien Community Member Volunteer, Youth Ministry Leader

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

NA 8AM-5PM 8AM-5PM 8AM-5PM 8AM-5PM 8AM-5PM 8AM-5PM

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:
KFC Team Member
Title__________________________Last $10/Hour
Salary: _____________
Kentucky Fried Chicken
_________________________________________________
10/15
______ 05/2016
______
Mo / Yr Mo/Yr
Duties
1616 Martin Luther King Jr. Way
_________________________________________________
0
Total ____Yrs. 8
________Mo.
Handled orders and register, maintained store lobby Merced, CA 95340
_________________________________________________
20
Hours Per Week:_________ and items, restocked and maintained items.
Reason For Leaving: (209)723-2877
_________________________________________________
Pursue/recieved another
Supervisors Name: _________________________________________________
oppourtunity for GWC
Alexander Abdill
_____________________________________________________

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.
Alexander Abdill 1616 Martin Luther King Jr. Way 209-723-2877
Manager
Merced, CA 95340
________________________________________________________________________________________________________________________________

2. Sashwati Keith 151 South Almaden Blvd. 408-536-6000

Senior Computer Scie
San Jose, CA 95110
________________________________________________________________________________________________________________________________

3. Hannah Puig-Holzman 151 South Almaden Blvd. 408-536-6000

Sales/Marketing Rep
San Jose, CA 95110
________________________________________________________________________________________________________________________________

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