ROP APPLICATION

Directions: Please Print Legibly

Noriega Stephanie 03/13/19
Name: __________________________________________ ____________________
(Last) (First) (Middle) Date
985 Bel Air Dr
Present mailing address:___________________________________________________________
(P.O. Box or Street Number)
Merced CA 95340
_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 2858557 ( stephanienoriega00@yahoo.com

)____________________ ____________________________
(Telephone Number) (Alternative Telephone Number) (Email Address)

Scholar of Merit
Position applied for:_______________________________________________________________
Skills and/or competencies which qualify you for this position:
-Bilingual: ability to clearly speak,read, and write in both English and Spanish
-Demonstrate initiative, honesty and integrity
-Arrive on time and ready to perform, accepts responsibility for own actions
-Ability to interact positively with people of different cultural backgrounds and those with special needs.
-Ability to communicate positively with people of all backgrounds and work cooperatively as a team
member.
spanish
Languages spoken and/or written (other than English):___________________________________

Do you possess a valid California Driver’s License?

 No  Yes Y8986786
_______________________
(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 1 2 3 4
Merced High Merced General Study Pending Diploma
College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
FCCLA- President

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

8 a.m-4 p.m 8 a.m-9 p.m 8 a.m-9 p.m 8 a.m-9 p.m 8 a.m-9 p.m 8 a.m-9 p.m 8 a.m-4 p.m
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:
11/17 present Waitress
Title__________________________Last $11.00
Salary: _____________ Isabella´s Bar & Grill
_________________________________________________
______ ______
Mo / Yr Mo/Yr
Duties 2811 Shaffer RD
_________________________________________________
Total 2
n/a
____Yrs. ________Mo. Taking multiple food orders, placing orders with kitchen
staff, delivering meals, cleaning tables and providing
Atwater, CA 95301
_________________________________________________
15
Hours Per Week:_________ excellent customer service. (209)358-2760
Reason For Leaving: _________________________________________________

Supervisor’s Name: _________________________________________________

Rafael Cornejo
_____________________________________________________

From: To:
Child Care Provider
Title__________________________Last N/A
Salary: _____________ Merced Union High School District
_________________________________________________
08/18 Present
______ ______
Mo/ Yr Mo/Yr Duties: Child development Center
_________________________________________________
N/A 7
Total ____Yrs. ________Mo.
Providing care for and assisted in the development 1900 G Street
and instruction of children in a child care and _________________________________________________
5
Hours Per Week:_________ development program under the supervision of an Merced, Ca 95340
_________________________________________________
Reason For Leaving:
Associate Teacher, teacher.
_________________________________________________
Supervisor’s Name:
Grace Ojeda
________________________________________________

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. 3566 White Wold Ct Caterer Business
Josephine Garza (209)489-0903
Merced, Ca 95350
________________________________________________________________________________________________________________________________
205 W.Olive Ave Child Devlopment
2.
Tammie Meyer (209) 756-8901 Teacher
Merced, CA 95348
________________________________________________________________________________________________________________________________

3. Rosa Valencia 3379 Vallecito Ct Sales Retail

(209)285-8560
Merced, CA 9534
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

03/13/19
Date:_________________________Signature:_________________________________________________________________

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