Date of Birth:
Are you a U.S. Citizen?
If checked no, do you have a legal right to work in the U.S.?
Have you ever been convicted of a crime other than a misdemeanor or traffic infraction?
Note: Conviction is not an automatic bar to employment.
Each case will be considered on its own merits.
Other (Please describe below)
Which location are you applying for?
Miyagi Bar & Sushi
What is your applying preference?
How long do you plan on working with us?
Less than 6 months
More than 1 year
Please specify your availability for work.
(Times are approximated, does not imply that you work all shifts checked)
Date you can begin working:
Please list most recent first.
WORK EXPERIENCE OR REFERENCES
Please list your present or most recent experience or reference first.
May we contact for reference? Yes
Reason for Leaving
Description of Duties
I hereby certify that the information contained in this form is true and
correct. I authorize Osaka Sushi to contact any of my schools, employers or
other references checked yes for the purpose of collecting and obtaining an
account of my work experience. I agree to hold any or all them blameless and
free of liability for releasing any such information. I understand that if
I am employed, any deletion, misrepresentation or misstatement of the facts
as stated or implied may result in my dismissal. I understand that this application
does not bind either myself or the employer for any specific period regarding
employment, and that no promise to the contrary can be made by another employee
of Osaka Sushi Japanese Restaurant.
Osaka Sushi considers applicants for all positions without regard to race,
color, religion, sex, national origin, age, marital or veteran status, the presence of
a non-job related medical condition or disability, or any other legally protected status.