ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Padilla Adan ____________________
4-8-18
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

99 W Alexander Ave APT 8
(P.O. Box or Street Number)

Merced CA 95348
_______________________________________________________________________________
(City) (State) (Zip Code)

(239 ) 67781111 ( )____________________ ____________________________

adanpad007@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Market Analyst

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

Degree in Mathematics with Emphasis in Economics

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 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 Merced High School Merced, CA 1 2 3 4 Yes Accomplis
hed

College/ 1 2 3 4
UC Merced Merced, CA Mathematic Yes Mathemati
University
s cs
Other
1 2 3 4
(Specify)

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

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

All Day All Day All Day All Day All Day All Day All Day
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:
Customer Service
Title__________________________Last 11/hour
Salary: _____________
KFC
_________________________________________________
3/18
______ Present
______
Mo / Yr Mo/Yr
Duties _________________________________________________
Total ____Yrs. ________Mo.
Packing Food _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

Supervisor’s Name: _________________________________________________

Vanessa H.
_____________________________________________________

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

_________________________________________________
Supervisor’s Name:
________________________________________________

From: To:
Title___________________________Last Salary: ____________ _________________________________________________
______ ______
Mo /Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
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.
Karen Sizemore 205 W Olive Ave, Merced, CA 95348 209-489-1576
English Teacher
________________________________________________________________________________________________________________________________

2. Anthony Rocci 803 Northwood Dr. 209-446-1702

Pro Gamer
________________________________________________________________________________________________________________________________

3.

________________________________________________________________________________________________________________________________

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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