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ROP APPLICATION
Directions: Please Print Legibly

Name: __________________________________________
Strobel Samantha B ____________________
May 13th, 2019
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

35 W 27 Street
(P.O. Box or Street Number)

Merced California 95340

_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 877 3375 ( 209 )____________________

829 2098 ____________________________
[email protected]
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Sales Associate

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

Good communication skills
Organization
Problem Solving

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

None

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 Merced CA 1 2 3 4 Yes Yes

College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

List appropriate extracurricular activities, clubs, organizations and courses for this position:
Communication course

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

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:
Child Care
Title__________________________Last 250
Salary: _____________
35 W 27 Street 209 829 2098
_________________________________________________
09 18
______ 04 19
______
Mo / Yr Mo/Yr
Duties _________________________________________________
0
Total ____Yrs. 9
________Mo.
Keep all ours neat while providing stimulating care, _________________________________________________
35-50
Hours Per Week:_________ activities, and dietary needs to toddlers and infants
Reason For Leaving: _________________________________________________
Currently Still Working
Supervisor’s Name: _________________________________________________
Walter Strobel
_____________________________________________________

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.
Andrea Deleon-Vega 205 W Olive Avenue Merced California 95348 (209) 777 2496
Teacher
________________________________________________________________________________________________________________________________

2. Brad Reed 205 W Olive Avenue Merced California 95348 (209) 201 9718
Teacher
________________________________________________________________________________________________________________________________

3. Jasmine Estrada 205 W Olive Avenue Merced California 95348 (209) 917 0692
Assets Tutor
________________________________________________________________________________________________________________________________

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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