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ROP APPLICATION
Directions: Please Print Legibly

Name: __________________________________________
Rivera Margarita Isabella ____________________
1/10/18
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

1436 Quiet Court
(P.O. Box or Street Number)

Merced California 95340

_______________________________________________________________________________
(City) (State) (Zip Code)

( 209) 489-2506 ( 209 )____________________

233-2808 ____________________________
Maggie.Rivera2000@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Teacher Assitant

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

Able to grade test papers and homework papers, can help children with their math classwork, and organize
papers.

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

N/A
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 Driver’s 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 1 2 3✔ 4 Pending
Merced High School Merced/California College Pending
Prep 2018
College/ 1 2 3 4
University N/A

Other
1 2 3 4
(Specify) N/A

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

- ROP Foundation In Education

- Art Club

FULL TIME
AVAILABILITY ✔ PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

/ 9:00 am-4:00 pm 9:00 am-4:00 pm 9:00 am-4:00 pm 9:00 am-4:00 pm 9:00 am-4:00 pm /
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:
Teachers Assistant
Title__________________________Last ROP
Salary: _____________
Rivera Elementary School
_________________________________________________
10/30/17
______ Present
______
Mo / Yr Mo/Yr
Duties
945 Buena Vista Dr, Merced, CA 95348
_________________________________________________
0
Total ____Yrs. 5
________Mo.
-Help grade homework and tests (209) 724-2550
_________________________________________________
5 hours
Hours Per Week:_________ -Communicate with kids and help them with their
Reason For Leaving: _________________________________________________
math workbook
Currently working
Supervisor’s Name: _________________________________________________
Cindy Zorichak
_____________________________________________________

From: To:
$80 Merced High School
Teachers Assistant
Title__________________________Last Salary: _____________ _________________________________________________
1/28/17
______ Present
______
Mo/ Yr Mo/Yr Duties:
205 W. Olive Ave, Merced, CA 95348
_________________________________________________
0
Total ____Yrs. 11
________Mo. (209) 631-3557
-Grade and submit homework papers for his high _________________________________________________
4
Hours Per Week:_________ school classes.
Reason For Leaving: -Grade homework papers for his college classes. _________________________________________________

Currently Working _________________________________________________

Supervisor’s Name:
John Rivero
________________________________________________

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

_________________________________________________
Supervisor’s Name:
________________________________________________

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

Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
John Rivero 205 W. Olive Ave
(209) 631-3557
Teachers Assistant
Merced, CA 95348
________________________________________________________________________________________________________________________________

2. Cindy Zorichak Rivera Elementary School (209) 724-2550

Teachers Assistant
Merced, CA 95348
________________________________________________________________________________________________________________________________

3. 205 W. Olive Ave (209) 617-4628

Lisa Benson
ROP Instructor
Merced, CA 95348
________________________________________________________________________________________________________________________________

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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