ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Mendoza Alexis Serene ____________________
04/8/20
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

177 West Donna Drive
(P.O. Box or Street Number)

Merced California 95348

_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 777-2202 ( 209 )____________________

631-7160 ____________________________
AlexisMendoza2000@yahoo.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Research Assistant - Psychological Assessments

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

Bachelor's in Psychology
Excellent skills with organization, prioritization, attention to detail, collaboration, and multi-tasking
Strong written and verbal communication skills, professional presence, and outstanding interpersonal skills

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

None

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 GE 1 2 3 4 Yes Diploma

College/ 1 2 3 4
CSU San Francisco San Francisco Psychology Yes Degree
University

Other
1 2 3 4
(Specify)

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

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

No Yes Yes Yes Yes Yes Yes

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:
Concession worker
Title__________________________Last 20 Band Points
Salary: _____________
Merced Marching 100
_________________________________________________
07/13
______ 6/18
______
Mo / Yr Mo/Yr
Duties
205 West Olive Ave, Merced, CA, 95348
_________________________________________________
4
Total ____Yrs. 11
________Mo.
Making food, working cash register, making store _________________________________________________
0-6
Hours Per Week:_________ runs, and setting/ tearing down, and dishes
Reason For Leaving: _________________________________________________
Graduated out of program
Supervisor’s Name: _________________________________________________
Mike Smith
_____________________________________________________

From: To:
2 CSH Calvary Assembly of God
Media Assistant
Title__________________________Last Salary: _____________ _________________________________________________
01/17
______ 10/17
______
Mo/ Yr Mo/Yr Duties:
1021 R Street, Merced, CA, 95341
_________________________________________________
0
Total ____Yrs. 10
________Mo. Setting up/ tearing down media equipment, live (209)723-2395
_________________________________________________
2
Hours Per Week:_________ streaming services, audio, making powerpoints
Reason For Leaving: _________________________________________________

No longer attending certain _________________________________________________

church Supervisor’s Name:
Josh Gomez
________________________________________________

From: To:
Cook/ Set-up
Title___________________________Last 5 CSH
Salary: ____________
Isaiah Project
_________________________________________________
10/15
______ 10/17
______
Mo /Yr Mo/Yr Duties:
1021 R Street, Merced, CA, 95341
_________________________________________________
2
Total ____Yrs. 0
________Mo. Set-up/ tear down equipment, make dinners for 40+ (209)723-2395
_________________________________________________
5
Hours Per Week:_________ kids and volunteers, dishes, and watching over
_________________________________________________
Reason For Leaving: children
No longer attending certain _________________________________________________
church Supervisor’s Name:
Jazymn Johnson
________________________________________________

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

Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
Dee Dee Claunch 425 Alpha Rd, Turlock, CA, 95380 (209) 617-9575
Youth Minister
________________________________________________________________________________________________________________________________

2. Susan Mikkelsen 3798 West Donelly Street, Atwater, CA, 95301 (209) 233-2046
Head Librarian
________________________________________________________________________________________________________________________________

3. Joshua Gomez 250 Bellvue Ave, Atwater, CA, 95301 (209) 917-0106
Nutritional Specialist
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

I understand that misrepresentation or omission of facts is cause for dismissal.

Date:_________________________Signature:_________________________________________________________________