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ROP APPLICATION
Directions: Please Print Legibly

Name: __________________________________________
Maravilla Korynn Alicia ____________________
May 13, 2019
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

1225 Stevens Ct.
(P.O. Box or Street Number)

Merced California 95340

_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 631-5057 ( 209 )____________________

756-2325 ____________________________
korynn.maravilla@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

services and sales

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

I have worked at the hospital were I answered a muti line phone, discharge patients, learned how to speak
to guest, while also transfering specimen. I am very responsible, respectful, and reliable person who is
always on task. I will always be there for someone if they need the extra hand and get things done on time.

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:________________________________
N/A

Do you possess a valid California Driver’s License?

‰ No ‰ Yes _______________________
F7694320
(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 Generak 1 2 3 4 Date Not yet
6/2019 graduated

College/ 1 2 3 4
N/A
University

Other
N/A 1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Involved in MHS Varsity Softball Team, Wrestling Team Score Keeper, Leadership, and Pacific Club. I also
volunteered at the Dignity Health Hospital in Merced, Ca

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

10-10 3-10 3-10 3-10 3-10 3-close 10-close

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:
Kitchen team/ Service
Title__________________________Last 12.75
Salary: _____________
Panda Express
_________________________________________________
8/2018
______ present
______
Mo / Yr Mo/Yr
Duties
1786 W Olive Ave Merced, CA 95
_________________________________________________
0
Total ____Yrs. 9
________Mo.
Work the register to charge customers, greet (209) 388-1085
_________________________________________________
Hours Per Week:_________ customers, cook, and work with others
Reason For Leaving: _________________________________________________
Present
Supervisor’s Name: _________________________________________________
Patty V
_____________________________________________________

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.
Clayton Schneider- Rowland Ct 209-564-6699
Teacher/ Mentor
________________________________________________________________________________________________________________________________

2. Liz Wiggins 3010 Palamino Lane 209-631-5844

Registered Nurse
________________________________________________________________________________________________________________________________

3. Jose Cruz 3165 Kernland Ct. 209-777-5349

Police Officer
________________________________________________________________________________________________________________________________

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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