ROP APPLICATION

Directions: Please Print Legibly

Name: __________________________________________
Cortez Alondra Rashel ____________________
05/01/2017
(Last) (First) (Middle) Date

Present mailing address:___________________________________________________________

1278 Esplanade Dr.
(P.O. Box or Street Number)

Merced CA 95348
_______________________________________________________________________________
(City) (State) (Zip Code)

( 209 ) 4891175 ( 209 )____________________

4891175 ____________________________
alondracortez010@gmail.com
(Telephone Number) (Alternative Telephone Number) (Email Address)

Position applied for:_______________________________________________________________

Medical Receptionist

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

CPR/ first aid, knowledge of vital signs, medical terminology, basic pharmacology, bloodborne
pathogens training, HIPAA training, OSHA training, MS word, Excel and medical office skills
including scheduling, phone etiquette, translating etc

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 Drivers License?

No Yes
_______________________
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
(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 1 2 3 4 Graduation GED
Merced High School Merced, CA GED
date is June
1, 2017
College/ 1 2 3 4
University

Other
1 2 3 4
(Specify)

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

Volunteer work at Cardiac and Pulmonary Rehabilitation Center.

Accumalimative 4.0 in
courses including ROP Medical technologies, Health and family living and
anatomy and FULL TIME
physiology.
AVAILABILITY PART TIME

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

Mornings/afternoon Afternoon Afternoon Mornings/ Afternoon

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:
Nursing Aide
Title__________________________Last Volunteer
Salary: _____________
Cardiac Rehab
_________________________________________________
1/16
______ 5/16
______
Mo / Yr Mo/Yr
Duties
Mercy Medical Center
_________________________________________________
5
Total ____Yrs. ________Mo.
Vital signs, filing patient histories, patient transfers, 2740 M street
_________________________________________________
5
Hours Per Week:_________ patient education, scheduling patients, etc
Reason For Leaving: Merced, CA 95348
_________________________________________________

Supervisors Name:
(209) 564- 4260
_________________________________________________
Henry Moreno, RCP
_____________________________________________________

From: To:
$10.50/hr Chipotle Grill
Line specialst
Title__________________________Last Salary: _____________ _________________________________________________
10/15
______ current
______
Mo/ Yr Mo/Yr Duties:
3110 R street
_________________________________________________
1
Total ____Yrs. 6
________Mo. Merced, CA 95348
Customer Service, food preparation, sanitation, etc. _________________________________________________
Hours Per Week:_________ (209) 722- 7488
_________________________________________________
Reason For Leaving:

_________________________________________________
Supervisors Name:
James Baylor
________________________________________________

From: To:
Child care
Title___________________________Last $25.00/day _________________________________________________
Salary: ____________ N/a
06/14
______ currently
______
Mo /Yr Mo/Yr Duties: N/a
_________________________________________________
Merced, CA, 95347
Total ____Yrs. ________Mo. Responsible for the health and safety of two _________________________________________________
Hours Per Week:_________ children ages 7 and 9. Cooking meals,keeping (209) 261-6870
Reason For Leaving: them entertained and tutoring. _________________________________________________

_________________________________________________
Supervisors Name:
Maria Munguia
________________________________________________

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

Name Complete Address (Include City, State, Zip) Phone Occupation_______
1.
2121 E. Childs Ave.
Jerry fragasso (559) 917-8148 ROP Instructor
Merced, CA 95341
________________________________________________________________________________________________________________________________

2. 3110 R street
James Baylor (209) 722-7488 General Manager
Merced, CA 95348
________________________________________________________________________________________________________________________________

3. 3100 R Street
Yessica Rodriguez (209) 722-7488 Service Manager
Merced, CA 95348
________________________________________________________________________________________________________________________________

I authorize investigation of all statements contained in this application.

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

05/05/17 Alondra Cortez

Date:_________________________Signature:_________________________________________________________________

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