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Jessica Pineda has applied for the position of psychologist. She has a bachelor's degree in psychology from Stanislaus University in Turlock, California. Her relevant experience includes volunteering at Aileen Colburn Elementary School and working as a psychologist assistant for the Board of Psychology in Sacramento. She has reliable references from Dawn Stafford, a psychologist, Cendi Perez, and Erica Douglas, who works in child psychology. Pineda is available full or part time with flexible weekday and weekend hours.

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43 views2 pages

It Worked!

Jessica Pineda has applied for the position of psychologist. She has a bachelor's degree in psychology from Stanislaus University in Turlock, California. Her relevant experience includes volunteering at Aileen Colburn Elementary School and working as a psychologist assistant for the Board of Psychology in Sacramento. She has reliable references from Dawn Stafford, a psychologist, Cendi Perez, and Erica Douglas, who works in child psychology. Pineda is available full or part time with flexible weekday and weekend hours.

Uploaded by

api-284229631
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ROP APPLICATION

Directions: Please Print Legibly


Pineda
Jessica
Marie
Name: __________________________________________

(Last)

(First)

May 5, 2015
____________________

(Middle)

Date

2066 Willowbrook Dr.


Present mailing address:___________________________________________________________

(P.O. Box or Street Number)


California
Merced
95348
_______________________________________________________________________________

(City)

(State)

(209 ) 409-1380

(Zip Code)

[email protected]
437-7396
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

Position applied for:_______________________________________________________________


psychologist
Skills and/or competencies which qualify you for this position:
Reliable
Patient/ social
Dependable

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 Drivers License?


No

Yes

_______________________
(Number)

RECORD OF EDUCATION

Name of School
High School

City/State

Course of
study or
major

Last year
completed

Did you
graduate?

Diploma
or degree

Merced High

Merced CA

Health/famil
y living

1 2 3 4

Yes

diploma

College/
University

Stanislaus

Turlock CA

psychology

1 2 3 4

Yes

degree

Other
(Specify)

N/A

N/A

N/A

1 2 3 4

N/A

N/A

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Kelly Turner program
Volunteered at Aileen Colburn Elementary school
FULL TIME

AVAILABILITY

PART TIME

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

7am-8pm

8am-8pm

N/A

8am-8pm

N/A

8am-8pm

7am-8pm

RECORD OF EMPLOYMENT: (Begin with your most recent job)


Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

N/A
Kelly Turner
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

To:

2013
______

2014
______

Mo / Yr

Mo/Yr

12
1
Total ____Yrs.
________Mo.
8
Hours Per Week:_________
Reason For Leaving:

From:

1900 G St. Merced CA 95340

Work with troubled students


Help with their acedemics

2015
______

Mo/ Yr

Mo/Yr

12
1
Total ____Yrs.
________Mo.
Hours Per Week:_________
12
Reason For Leaving:

(209) 385-8950

_________________________________________________
_________________________________________________

Supervisors Name:
Kelly Jermaine Turner
_____________________________________________________

_________________________________________________

$60,000
Title__________________________Last
Salary: _____________
Board of psychology

_________________________________________________

Duties:

_________________________________________________

To:

2014
______

Kelly Turner program

Board of psychology

1625 North Market Blvd, suite N-215

psychologist assistant
provide service

Sacramento, CA 95834

_________________________________________________
_________________________________________________
_________________________________________________

Supervisors Name:
Nicole J. Jones
________________________________________________
From:

To:

______

______

Mo /Yr

Mo/Yr

Title___________________________Last Salary: ____________

_________________________________________________

Duties:

_________________________________________________

Total ____Yrs. ________Mo.

_________________________________________________

Hours Per Week:_________


Reason For Leaving:

_________________________________________________

Supervisors Name:
________________________________________________

_________________________________________________

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


Name
1.

Dawn Stafford

Complete Address (Include City, State, Zip)

Phone

2067 Willowbrook Dr. Merced CA 95348

Occupation_______

(209) 725-2693
psychologist

________________________________________________________________________________________________________________________________
2.

Cendi Perez

1000 First St. Atwater CA

(209) 600-9788

________________________________________________________________________________________________________________________________
3.

Erica Douglas

1220 Bellevue Atwater CA 95301

(209) 356-5409
Child psychology

________________________________________________________________________________________________________________________________

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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