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ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Espinoza Christopher Isaiah ____________________
5/2/17
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________


3482 Paseo Verde Ave
(P.O. Box or Street Number)

Merced California 95348


_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 761-7528 ( )____________________ ____________________________


shadowcreations2@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________


Cash Register

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


Communicative, bilingual, and leader

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 California 1 2 3 4 2017

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

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

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

12 p.m.-6 p.m. 4 p.m.-9 p.m. 4 p.m.-9 p.m. 4 p.m.- 9 p.m. 4 p.m.-9 p.m. 4 p.m.-9 p.m. 12 p.m.-6 p.m.
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.
Gabe Espinoza 3491 Paseo Verde Ave 209-763-9028

________________________________________________________________________________________________________________________________

2. Drew Hernandez 23rd Street 209-142-2517

________________________________________________________________________________________________________________________________

3. Chris Mendoza 2837 Alexander Ave 209-863-5618

________________________________________________________________________________________________________________________________

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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