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ROP APPLICATION
Directions: Please Print Legibly

Name: __________________________________________
Rea Angelique NIchole ____________________
5/21/19
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________


366 Serano Street
(P.O. Box or Street Number)

Merced CA 95341
_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) -261-1745 ( )____________________ ____________________________


rea.angelique@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________


Entry Level position

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


I am very organized, hard working, and very patient. I'm always on time and never late.

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


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 CA 1 2 3 4 no yes

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
I have been apart of the Suicide Awareness

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

Off 8-3 12-5 3-8 8-3 8-3 Off


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:
Prepper and Dryer
Title__________________________Last $11.00
Salary: _____________
Rapid Xpress Car Wash
_________________________________________________
July 18
______ Present
______
Mo / Yr Mo/Yr
Duties
2905 G street Merced, CA 95340
_________________________________________________
10
Total ____Yrs. ________Mo.
I wash and dry cars to the best of my abilities. 209-349- 8866
_________________________________________________
20
Hours Per Week:_________
Reason For Leaving: _________________________________________________
I haven't left
Supervisor’s Name: _________________________________________________
Jessie
_____________________________________________________

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.
Samantha Downey Merced, CA 95340 209)-777-1920
Teacher
________________________________________________________________________________________________________________________________

2. Aurora Miller Merced, CA 95340 209-947-8166


Family Friend
________________________________________________________________________________________________________________________________

3. Andrea Deleon: Merced, CA 95340 (209)-777-2496


Teacher
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.


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

Date:_________________________Signature:_________________________________________________________________

N:\ROP\Charlotte Klock\ROP Forms\Forms\ROP Job Application with availbility back-for fillable.rtf Revised 7/10

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