ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Mireya Perez ____________________
April 10, 2018
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

1304 W 12 th St.
(P.O. Box or Street Number)

Merced California 95341

_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 500-8423 ( 209 )____________________

761-6965 ____________________________
mperez500810@muhsdstudents.org
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Cashier

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

I have worked at my moms little store in Mexico as a cashier. During that time, I develop and sharpened
my skills all aspects associated with handling cash, checks, vouchers, and credit cards.

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 Graduation
pending
June 2018
College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Bear Branch of the Merced School Employees Federal Credit Union provides financial services for school
personnel and students several hours a week. Credit union staffer as they learn about financial literacy, gain
important job skills.
FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

*
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:
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:
________________________________________________

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.
Mrs. Cathy White 205 Olive Ave. Merced, CA 95344 (209) 325-1000
Business teacher
________________________________________________________________________________________________________________________________

2. Pedro Sandoval 8015 W 12 th St. Merced, CA 95341 209-600-8591

Supervisor
________________________________________________________________________________________________________________________________

3. Ms. Lupita Gutierrez 613 W Olive Ave. Merced, CA 95348 209-761-7858

Cashier, Pollo Loco
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________