ROP APPLICATION
Directions: Please Print Legibly
Name: __________________________________________
Olivarez-Kidwell, Rhiannon ____________________
12 May 2019
(Last) (First) (Middle) Date
Present mailing address:___________________________________________________________
1586 San Luis Obispo Court
(P.O. Box or Street Number)
Merced CA 95340
_______________________________________________________________________________
(City) (State) (Zip Code)
(209 ) 777-9264 ( 209 )____________________
386-0729 ____________________________
rhiannonok3@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)
Position applied for:_______________________________________________________________
Quest Diagnostics Lab Assistant
Skills and/or competencies which qualify you for this position:
Familiarity with lab protocols, experience in chemistry lab setting, accurate and detail-oriented worker,
excellent communication skills.
Languages spoken and/or written (other than English):___________________________________
Spanish
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 General Ed 1 2 3 4 Yes Diploma
College/ 1 2 3 4
Merced College Merced, CA Science & NA NA
University
Humanities
Other
1 2 3 4
(Specify)
List appropriate extracurricular activities, clubs, organizations and courses for this position:
College level chemistry, biology, anatomy, and physics courses, Science Club Vice President, founder of an
international activism platform for Congenital Adrenal Hyperplasia
FULL TIME
AVAILABILITY PART TIME
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
6:30am- 12pm 6:30am-12pm 6:30am-12pm 6:30am-12pm 6:30am-12pm
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:
Lab Assistant
Title__________________________Last NA
Salary: _____________
Merced College
_________________________________________________
06/16
______ 07/16
______
Mo / Yr Mo/Yr
Duties
600 M St, Merced, CA 95348
_________________________________________________
0
Total ____Yrs. 2
________Mo.
Managed lab supplies and equipment, ensured lab (209) 384-6000
_________________________________________________
10
Hours Per Week:_________ safety, managed chemical mixing and
Reason For Leaving: _________________________________________________
measurements
End of courses
Supervisor’s Name: _________________________________________________
Dr. Paul Fregene
_____________________________________________________
From: To:
$25/hr Studio K Dance
Personal Assistant
Title__________________________Last Salary: _____________ _________________________________________________
12/18
______ 12/19
______
Mo/ Yr Mo/Yr Duties:
1521 West Main Street, Merced, CA 95340
_________________________________________________
1
Total ____Yrs. 0
________Mo. Ensured that children were prepared, did hair and Liza Servin: (209) 201-8134
_________________________________________________
Varied
Hours Per Week:_________ makeup, assisted with plans, events, and set-up
Reason For Leaving: _________________________________________________
No longer needed _________________________________________________
Supervisor’s Name:
Liza Servin
________________________________________________
From: To:
Cook/Service Rep.
Title___________________________Last $10/hr
Salary: ____________
Italo-American Lodge
_________________________________________________
06/16
______ 06/17
______
Mo /Yr Mo/Yr Duties:
1351 West 18th Street, Merced, CA 95340
_________________________________________________
1
Total ____Yrs. 0
________Mo. Food preparation, customer relations management, Eagles: (209) 722-9353
_________________________________________________
Varied
Hours Per Week:_________ set-up/clean-up manager
Reason For Leaving: _________________________________________________
No longer needed _________________________________________________
Supervisor’s Name:
Robert Olivarez
________________________________________________
REFERENCES: Give the names of three persons not related to you.
Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
Timothy Hagerman 1785 E North Bear Creek Drive, Merced, CA 95340 (209) 325-1000
Math Teacher
________________________________________________________________________________________________________________________________
2. Yer Lawson 205 W Olive Ave, Merced, CA 95348 (530) 574-4392
Science Teacher
________________________________________________________________________________________________________________________________
3. Dr. Allison Robinson 12340 N State Highway 59, Merced, CA 95348 (209) 722-2502
Business Manager
________________________________________________________________________________________________________________________________
I authorize investigation of all statements contained in this application.
I understand that misrepresentation or omission of facts is cause for dismissal.
Date:_________________________Signature:_________________________________________________________________
