Your Name (required)
Your Email (required)
Subject
Full Name
Present Address
How long have you been at this address?
Telephone Number
Position Applying For: CashierShari MakerSushi Maker
Type of Employment: Full TimePart Time
Expected Pay Rate:
Start Date (YYYY-MM-DD):
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Have you ever worked for a Kozo Sushi? YesNo
If yes, when and where
Do you have any relatives of friends currently working for Kozo? If yes, state their relationship to you and which location:
Do you have reliable transportation to and from work? YesNo
Do you have physical, mental, or medical impairment that would interfere with your ability to perform the essential duties of this job with or without an accommodation? YesNo
If "Yes", please describe in full. (Refer to position description if necessary)
Are you able at the time of employment to submit verification of your legal right to work in the U.S.? YesNo (verification and completion of Form I-9 must be submitted no later than 3 business days after date of hire)
Company Name, Address & Phone#
Start and End Date:
Position Held:
Starting Salary:
Ending Salary:
Reason for leaving:
Name of Supervisor:
Name & Address 1:
Occupation 1:
Phone Number 1:
Name & Address 2:
Occupation 2:
Phone Number 2:
Name & Address 3:
Occupation 3:
Phone Number 3:
High School Name & Address:
Course of Study:
Years Attended:
Did you graduate? yesno
List Diploma or Degree:
Extracurricular Activities:
College Name & Address:
Other Name & Address:
Are you at least 18 years of age or older? yesno
Have you ever been counseled or disciplined in a prior job for cash handling violations? yesno
Have you ever been counseled, disciplined or terminated in a prior job for theft, violence, discrimination or harasssment? yesno
If you have answered Yes to any of the above, please describe in full:
Within the past 10 years, have you ever been convicted of a felony, entered a plea of nolo to a felony charge or been convicted of a misdemeanor? yesno
If you have answered Yes, please describe in full