ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Xiong Chang Zang ____________________
April 19, 2018
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

1346 Jenner Dr.
(P.O. Box or Street Number)

Merced California 95348

_______________________________________________________________________________
(City) (State) (Zip Code)

(209 ) 201-9711 ( 209 )____________________

291-9183 ____________________________
[email protected]
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Cashier

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

Works well with others, experience with customer service, handling transactions, great leadership skills,
great communication skills, bilingual, can work well with pressure, able to adapt to any surroundings and
environment, good time-management

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

Hmong

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 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:
Leo Club, AVID Club, APS Club, Multicultural Club, Volleyball Club, and Organized Community Events

FULL TIME
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

3pm 3pm 3pm 3pm 3pm

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:
Cashier
Title__________________________Last $92.50
Salary: _____________
Merced High School
_________________________________________________
5/2016
______ 6/2018
______
Mo / Yr Mo/Yr
Duties
205 W Olive Ave, Merced, CA 95348
_________________________________________________
2
Total ____Yrs. 1
________Mo.
Handle transactions (209) 325-1000
_________________________________________________
3
Hours Per Week:_________ Provide customer service
Reason For Leaving: _________________________________________________
Graduating
Supervisor’s Name: _________________________________________________
Toni Herrera
_____________________________________________________

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.
Lindsay Gentry 205 W Olive Ave, Merced, CA 95348 (209) 385-6454
School Instructor
________________________________________________________________________________________________________________________________

2. Victorino Jimenez 205 W Olive Ave, Merced CA 95348 (209) 325-1000

School Instructor
________________________________________________________________________________________________________________________________

3. Maureen Johnson 205 W Olive Ave, Merced, CA 95348 (209) 325-1000

School Instructor
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________