Carillo Job App
Carillo Job App
Carillo Job App
(Last)
(First)
4/28/15
____________________
(Middle)
Date
186 Westmont Ct
Present mailing address:___________________________________________________________
(City)
(209 ) 626-9600
(State)
(Telephone Number)
(Zip Code)
jazmeenabarca@yahoo.com
)____________________ ____________________________
(Email Address)
Have you ever been convicted, pleaded guilty or no contest to a misdemeanor or felony?
No
Yes
If yes, explain:________________________________
Yes
_______________________
(Number)
RECORD OF EDUCATION
Name of School
High School
College/
University
City/State
Merced, CA
Merced College
Merced, CA
Course of
study or
major
Last year
completed
Did you
graduate?
Diploma
or degree
General
1 2 3 4
Yes
Diploma
1 2 3 4
Other
(Specify)
1 2 3 4
List appropriate extracurricular activities, clubs, organizations and courses for this position:
Youth Opportunity Program, CAL-SOAP, Young Life, Aquatics Club, Swimming, Water Polo
FULL TIME
AVAILABILITY
SUNDAY
ALL DAY
MONDAY
TUESDAY
4-CL
WEDNESDAY
PART TIME
THURSDAY
FRIDAY
SATURDAY
4-CL
4-CL
ALL DAY
$9.00
Cashier
Title__________________________Last
Salary: _____________
_________________________________________________
Duties
_________________________________________________
_________________________________________________
To:
4/2014
______
______
Mo / Yr
Mo/Yr
1
Total ____Yrs.
________Mo.
25
Hours Per Week:_________
Reason For Leaving:
From:
Sizzler Restaurant
_________________________________________________
Supervisors Name:
_____________________________________________________
_________________________________________________
_________________________________________________
Duties:
_________________________________________________
To:
______
______
Mo/ Yr
Mo/Yr
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
From:
To:
______
______
Mo /Yr
Mo/Yr
_________________________________________________
Duties:
_________________________________________________
_________________________________________________
_________________________________________________
Supervisors Name:
________________________________________________
_________________________________________________
Rebbecca LIncoln
Phone
Occupation_______
(209)381-5992
Career Educator
________________________________________________________________________________________________________________________________
2. Mike
(209)723-7100
General Manager
________________________________________________________________________________________________________________________________
3. Kae
(209)723-7100
Store Manager
________________________________________________________________________________________________________________________________
Date:_________________________Signature:_________________________________________________________________