APPLICATION FOR EMPLOYMENT

June 20, 2016

DATE: ___________________________

PERSONAL INFORMATION
NAME (LAST NAME, FIRST NAME, MIDDLE NAME)

Rivera Agosto, Johanelys

PRESENT ADDRESS

CITY

SOCIAL SECURITY NO. (LAST FOUR DIGITS)

6808
XXX-XX-__________
STATE
ZIP CODE
PR

River Edge Hills Rio Sabana Street Luquillo

PERMANENT ADDRESS

CITY

00773

STATE

PHONE NO.

ZIP CODE

REFERRED BY

787-975-0040

EMPLOYMENT DESIRED
POSITION

Manager

ARE YOU EMPLOYED? ___Yes ___No

x
EVER APPLIED TO THIS COMPANY
BEFORE? ____Yes ____No
x

DATE YOU CAN START

SALARY DESIRED

$1,5000 monthly

June 21,2016

IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?

____Yes ____No
WHERE?
WHEN?

EDUCATION HISTORY
NAME AND LOCATION OF SCHOOL
HIGH
SCHOOL

YEARS
ATTENDED

Isidro A. Sanchez

2010

2013

COLLEGE

TRADE OR
BUSINESS

GENERAL INFORMATION
SUBJECTS OF SPECIAL STUDY/RESEARCH
WORK OR SPECIAL TRAINING/SKILLS
Microsoft Word, Excell and Power Point, Customer Service

US MILITARY OR NAVAL SERVICE

N/A

RANK

DID YOU
GRADUATE?

N/A

SUBJECT STUDIED

Diploma

FORMER EMPLOYERS (LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST)
DATE
MONTH AND
YEAR
FROM Dec 2014
TO

NAME AND ADDRESS OF

EMPLOYER

Super Max Isla verde

Julio 2014

FROM
TO

SALARY

POSITION

$7.25

Frond end
(cashier)

I need the more

opportunitys

Secretary

Time of study

2013
GMS Manufacturing Corp

2011

REASON FOR
LEAVING

$8.00

FROM
TO
FROM
TO

REFERENCES GIVE BELOW THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN FOR
AT LEAST ONE YEAR.

NAME

Maritza Aguilar
Marimyr Betancourt

ADDRESS

BUSINESS

River Edge Hills Rio Canovanilla Street

Rio Grande State #545 Street

YEARS
KNOWN

Assitant

Maneger

AUTHORIZATION
I certify that the facts contained in this application are true and complete to the best of my knowledge and
understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above
to give you any and all information concerning my previous employment and any pertinent information
that may have, personal or otherwise, and release the company from all liability for any damage that may
result from utilization of such information.

Johanelys Rivera

DATE ______________________________
SIGNATURE __________________________________________
June 20,2016