ROP APPLICATION

Directions: Please Print Legibly

Simpson
Vivienne
Noreen
Name: __________________________________________

(Last)

(First)

5/11/15
____________________

(Middle)

Date

P.O. Box 3724

Present mailing address:___________________________________________________________

(P.O. Box or Street Number)

CA
Merced
95344
_______________________________________________________________________________

(City)

(State)

(209 ) 658-5788

(Zip Code)

vsimpson102343@muhsdstudents.org
355-4275
( 209 )____________________
____________________________
(Alternative Telephone Number)
(Email Address)

(Telephone Number)

Position applied for:_______________________________________________________________

paralegal
Skills and/or competencies which qualify you for this position:
I am very extroverted and I love people. I embrace socializing. Debating with others to serve justice is my
first priority.

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

College/
University

City/State

Course of
study or
major

Last year
completed

Did you
graduate?

Diploma
or degree
diploma

Merced High School

Merced/CA

HS diploma

1 2 3 4

Yes

UC Merced

Merced/CA

law

1 2 3 4

No

Other
(Specify)

1 2 3 4

List appropriate extracurricular activities, clubs, organizations and courses for this position:
I was involved in a debating group in high school. I received an A while participating in a mock trial. I was a
prosecutor and the court ruled in my favor.
FULL TIME

AVAILABILITY
SUNDAY

MONDAY

TUESDAY

WEDNESDAY

PART TIME

THURSDAY

FRIDAY

SATURDAY

8:00a.m.-2:00p.m.
8:00a.m. -2:00p.m.
8:00a.m.-2:00p.m.
8:00a.m.-2:00p.m.8:00a.m.-2:00p.m.
8:00a.m.-2:00p.m.
8:00a.m.-2:00p.m.

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

Period of Employment
From:

Job Title and Duties Performed

Company Name, Address, and Phone Number

$5.00
Assistant
Title__________________________Last
Salary: _____________

_________________________________________________

Duties

_________________________________________________

I was assigned to keep office clean while

maintaining a welcoming environment for patients.

_________________________________________________

To:

7/13
______

7/14
______

Mo / Yr

Mo/Yr

1
Total ____Yrs.
________Mo.
10
Hours Per Week:_________
Reason For Leaving:
Schooling

From:

3349 G st.

12/13
______

Mo/ Yr

Mo/Yr

3
Total ____Yrs.
________Mo.
Hours Per Week:_________
20
Reason For Leaving:

Merced, Ca. 95340

(209) 230-9655

_________________________________________________
Supervisors Name:
Dr. Kenneth J. Garvey
_____________________________________________________

_________________________________________________

$4.50
Title__________________________Last
Salary: _____________
Dance Instructor

_________________________________________________

Duties:

_________________________________________________

I was assigned to teach dance routines to all ages

starting from 5 and ending at age 50.

_________________________________________________

To:

7/10
______

Garvey Chiropractic

Merced First Assembly of God

Yosemite Parkway

Merced, Ca. 95341

(209) 383-6130

_________________________________________________

Schooling

_________________________________________________
Supervisors Name:
Georgette Holiday
________________________________________________

From:

To:

7/10
______

12/13
______

Mo /Yr

Mo/Yr

3
Total ____Yrs.
________Mo.
10
Hours Per Week:_________
Reason For Leaving:

Merced First Assembly of God

Drama Instructor
Title___________________________Last
Salary: ____________

_________________________________________________

Duties:

_________________________________________________

I was assigned to lead drama skits with peers to

perform in front of audiences.

_________________________________________________

Yosemite Parkway

Merced, Ca. 95341

(209) 383-6130

_________________________________________________

Schooling
Supervisors Name:
Demetria Charo
________________________________________________

_________________________________________________

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

Name
1.

Georgette Holiday

Complete Address (Include City, State, Zip)

631 loughborough dr.

Phone

Occupation_______

(209) 489-5220
Bus Driver

Merced, Ca. 95340

________________________________________________________________________________________________________________________________
2. Demetria

Charo

112 El Camino rd.

(209) 658-5799
Security Guard

Merced, Ca. 95340

________________________________________________________________________________________________________________________________
3. Kelsey

Thomas

445 Buhach ct.

(209) 355-6785

Atwater, Ca. 95341

Photography teacher

________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

Date:_________________________Signature:_________________________________________________________________