ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Ramirez Liliana Anali ____________________
April 19, 2018
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

3593 San Vincent Ave.
(P.O. Box or Street Number)

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

(209 ) 769-0372 ( 209 )____________________

819-9253 ____________________________
lilianaramirez33100@icloud.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Physical Therapist Assistant

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

oral/written communication, muscle performance, focus on quality care, compassionate, commited team
player, and self-motivated

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 _______________________
Y027510L2
(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, 1 2 3 4 June 2018 Diploma
California
College/ 1 2 3 4
Oregon State Univeristy Corvallis, Oregon Kinesiology
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Varsity softball, went to physical therapy for two years for knee injury, enrolled in Human Anatomy class

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

X X X X X
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:
Clerical Assistant
Title__________________________Last $7.50
Salary: _____________
Ramirez Agriculture Inc.
_________________________________________________
06/17
______ 07/17
______
Mo / Yr Mo/Yr
Duties
1942 Johnson Ave Dos Palos, CA 93620
_________________________________________________
1
Total ____Yrs. ________Mo.
Managed office supplies and answered and (209) 587-0681
_________________________________________________
17
Hours Per Week:_________ managed incoming and outgoing calls
Reason For Leaving: _________________________________________________
I started back at school
Supervisor’s Name: _________________________________________________
Manuel Ramirez
_____________________________________________________

From: To:
$14.00 Marroquin Family
Child Care
Title__________________________Last Salary: _____________ _________________________________________________
06/16
______ 06/17
______
Mo/ Yr Mo/Yr Duties:
3530 San Isidro Ave. Merced, CA 95348
_________________________________________________
2
Total ____Yrs. ________Mo. Helped children with homework and transported (209) 385-9700
_________________________________________________
6
Hours Per Week:_________ children to extracurricular activities
Reason For Leaving: _________________________________________________

I babysit only in the _________________________________________________

summers Supervisor’s Name:
Marroquin Family
________________________________________________

From: To:
Dog Walker/ Pet sitter
Title___________________________Last $5.00
Salary: ____________
Friends and Relatives
_________________________________________________
08/15
______ 04/18
______
Mo /Yr Mo/Yr Duties:
Friends and relatives that reside in Merced,
_________________________________________________
3
Total ____Yrs. ________Mo. Brushed, bathed and conditioned animals' coats, Claifornia or Los Banos, California
_________________________________________________
4
Hours Per Week:_________ Cleaned animal enclosures and performed minor
_________________________________________________
Reason For Leaving: maintenance
I walk dogs only during the _________________________________________________
summers/ have time Supervisor’s Name:
Friends and Relatives
________________________________________________

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

Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
Maria Vanzile 3979 Robin Court Merced, CA 95340 (209) 631-2429
Elementary Teacher
________________________________________________________________________________________________________________________________

2. Gabriela Angel 3589 San Vincent Ave. Merced, CA 95348 (209) 631-5947
Admissions Manager
________________________________________________________________________________________________________________________________

3. Marlyn Gonzales 3597 San Vincent Ave. Merced, CA 95348 (209) 233-1580
Sales Support
________________________________________________________________________________________________________________________________

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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