ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Salazar Jovanna ____________________
4/25/17
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

3582 San Vincent Ave.
(P.O. Box or Street Number)

Merced CA 95348
_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 631-0026 ( 209 )____________________

261-0641 ____________________________
jovisal13@yahoo.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Nike Cashier

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

Athletic, know how to work with money, play soccer, can work work cash register, customer service

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 Drivers 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 GED 1 2 3 4 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:
Soccer club, Key club, Link crew, Merced United FC, High School soccer

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

8-5 3-5 3-5 3-5 3-5 3-5 8-5

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:
Volunteer at homeless
Title__________________________Last $0
Salary: _____________
Homeless Shelter
_________________________________________________
8/13
______ 9/13
______
Mo / Yr Mo/Yr
Duties
Merced, CA
_________________________________________________
0
Total ____Yrs. ________Mo.
unload canned foods, organize canned foods on _________________________________________________
4-8
Hours Per Week:_________ shelves, help serve homeless food
Reason For Leaving: _________________________________________________
look for new volunteet work
Supervisors Name: _________________________________________________
_____________________________________________________

From: To:
$0 Sacred Heart Church
volunteer at church
Title__________________________Last Salary: _____________ _________________________________________________
7/16
______ 9/16
______
Mo/ Yr Mo/Yr Duties:
Merced, CA
_________________________________________________
0
Total ____Yrs. ________Mo. help set up games, sold tickets, help make plates of _________________________________________________
3-6
Hours Per Week:_________ food
Reason For Leaving: _________________________________________________

look for new volunteer work _________________________________________________

Supervisors Name:
________________________________________________

From: To:
Title___________________________Last Salary: ____________ _________________________________________________
______ ______
Mo /Yr Mo/Yr Duties: _________________________________________________
Total ____Yrs. ________Mo. _________________________________________________
Hours Per Week:_________
Reason For Leaving: _________________________________________________

_________________________________________________
Supervisors Name:
________________________________________________

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

Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
Jessica Aleman Farmers Insurance Group Federal Credit Union (209) 756-3367
Senior Loan Officer
Merced, CA 95348
________________________________________________________________________________________________________________________________

2. Bladamir Mimiro Merced High School Merced, CA 95344 (209) 628-5587

Soccer Coach
________________________________________________________________________________________________________________________________

3. Megan Atoigue Merced High School Merced, CA 95344 1(925) 212-7017

UC Merced Soccer
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________