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ROP APPLICATION
Directions: Please Print Legibly

Name: __________________________________________
Cortez Vickie ____________________
05-13-2019
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

345 w 5th St
(P.O. Box or Street Number)

Merced California 95341

_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 2308967 ( 209 )____________________

2309934 ____________________________
Vcortez@Icloud.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Starbuks

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

Always willing to help others and learning new skills from others.

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 Hight Merced, Ca 1 2 3 4 Yes Diploma

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
I took a class of cooking.

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

X X X X X X X
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:
367.98
Title__________________________Last Salary: _____________
Salinas Atwater 897 899-678543
_________________________________________________
5/19
______ 5/19
______
Mo / Yr Mo/Yr
Duties _________________________________________________
Total ____Yrs. ________Mo.
trowing plants. _________________________________________________
9
Hours Per Week:_________
Reason For Leaving: _________________________________________________
I still go to school
Supervisor’s Name: _________________________________________________
Francisco
_____________________________________________________

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.
Mr. Granthan 357 6th st Merced C.A 95341 209 3489656
Teacher
________________________________________________________________________________________________________________________________

2.

________________________________________________________________________________________________________________________________

3.

________________________________________________________________________________________________________________________________

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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