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ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Kail Star Nicolette ____________________
April 6, 2018
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________


3242 Denver Ave Apt.#8
(P.O. Box or Street Number)

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

(209 ) 947-5045 ( 209 )____________________


947-5045 ____________________________
Bluestar77.sk@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________


Sales Associate

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


I am a great listener
I learn fairly fast
I work fast with my hands with or without tools
I am great when working with teams or alone
I am respectful
Languages and responsible
spoken and/or written (other than English):___________________________________
None
I get along with others easily
Have you ever
I'm positive, good been
with convicted,
people and pleaded guilty or no contest to a misdemeanor or felony?
self sufficient
Respectful of work environment
‰ No ‰ Yes If yes, explain:________________________________
I can handle pressure in all situations
I amyou
Do hard workingaand
possess have
valid great work
California ethic License?
Driver’s
Previous experience in sanitation and Food handling
Dependable and‰reliable
No ‰ Yes _______________________
Can work Fast and Efficiently (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 Yes

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
I have [articipated in Swim, Choir, Community service such as Heloing feed the homeless with my church.

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

2pm-7pm 4pm-8pm 4pm-8pm 4pm-8pm 4pm-6pm 4pm-8pm 10am-7pm


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:
Assembly line worker
Title__________________________Last 15$ /hr
Salary: _____________
Privately owned , Atwater,
_________________________________________________
Nov 2018
______ Dec 2018
______
Mo / Yr Mo/Yr
Duties _________________________________________________
0
Total ____Yrs. 2
________Mo.
ood handling and sanitation was a requirement. I _________________________________________________
4
Hours Per Week:_________ gained these skills during the processing of raw
Reason For Leaving: _________________________________________________
walnuts.
Temporary
Standing for
Supervisor’s a long period of time was
Name: _________________________________________________
commonplace and Debbie
_____________________________________________________
constantly stooped or bent over.
I Had to handle heavy objects.
From: To:
My responsibilities were to separate walnuts
10$/hrfrom Vanessa Hernandez, Merced, 209-947-9974
Cleaner
Title__________________________Last Salary: _____________ _________________________________________________
June 2016
______ July 2017
______ shells along with cracking shells that were attached
Mo/ Yr Mo/Yr Duties: _________________________________________________
I had to clean,bag,label, and box walnuts
2
Total ____Yrs. 2
________Mo. Worked with common household cleaning supplies
I showed up on time and when needed _________________________________________________
10
Hours Per Week:_________ Sanitation
Reason For Leaving: _________________________________________________
Yard maintenance
Temporary / Summer job Attention to detail _________________________________________________
Supervisor’s
This job was Name:
physically demanding in the sense that
Vanessa Hernandez
________________________________________________
i was constantly using my hands and crouching or
From: To: standing, reaching for high or low places.
General Jarrod Harmon, Merced, 209-947-5619
fast labor
Title___________________________Last 10$/hr
Salary: ____________ _________________________________________________
June 2016 July 2017 I worked and efficiently
______ ______
Mo /Yr Mo/Yr Showed up on time and when needed
Duties: _________________________________________________
2
Total ____Yrs. 2
________Mo. Worked with common household supplies _________________________________________________
10
Hours Per Week:_________ Yard maintenance
_________________________________________________
Reason For Leaving: I worked with wood, tools, metal, car parts, and
Temporary/ summer job heavy objects. _________________________________________________
Supervisor’s
I worked fastName:
and efficiently
Jarrod Harmon
________________________________________________
Showed up on time and when needed

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


Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
Jonathan Harmon Merced, CA, 95348 209-658-1816
Pastor
________________________________________________________________________________________________________________________________

2. Andrea Brown Merced, CA, 95348 209-261-2615


College Counselor
________________________________________________________________________________________________________________________________

3. Jarrod Harmon Merced, CA, 95348 209-947-5619


Steel worker
________________________________________________________________________________________________________________________________

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

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