Apply Step 1 of 3 33% Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country How long have you lived at the above address?PhoneAre you 18 years old or older?YesNoIf not, state date of birth: Date Format: MM slash DD slash YYYY If under age 18, how many hours per week are you employed elsewhere?Have you had any name changes this employer should know about in order to verify your job or education history?YesNoPrevious Name First Last Do you have transportation to and from work?YesNoAre you authorized to work in the U.S.?YesNoPosition Applied ForSushi Chef / Assistant ManagerDate you can start? Date Format: MM slash DD slash YYYY Salary desired:Are you applying for: Full Time Part Time Temporary Days Only Nights Only Days/Nights Did someone recommend you for this position? If yes, who? Education Please complete all sections that apply to you.High SchoolName and Address of SchoolGrade CompletedDid you graduate?YesNoCollege or UniversityName and Address of SchoolDegree CompletedOthers (Please specify)Name and Address of SchoolGrade or Degree CompletedDid you graduate?YesNoMilitary ServiceMilitary Schools CompletedAre you a war veteran?YesNoBranchServed From (Date) Date Format: MM slash DD slash YYYY Served To (Date) Date Format: MM slash DD slash YYYY Highest Grade or Rank Previous Restaurant Experience Please list your last four employers, starting with the most recent one first.Please check the kind of work you have done: Bartender Bookkeeper Bus Person Carver Chef Cook Cook Helper Counter Dietitian Dishwasher Food Prep Technician Fountain Host or Hostess Kitchen Helper Manager Pantry Pastry Cook Porter Pot Washer Salad Sandwiches Stenographer Typist Vegetable Cook Wait Staff Wait Staff-Arm Service Wait Staff-Tray Service Cashier Drive-thru Previous Employment 1Company Name, Address, and PhoneCompany BusinessImmediate SupervisorYour PositionTitleJob DutiesDate Started Date Format: MM slash DD slash YYYY Date Left Date Format: MM slash DD slash YYYY Beginning SalaryEnding SalaryReason for LeavingPrevious Employment 2Company Name, Address, and PhoneCompany BusinessImmediate SupervisorYour PositionTitleJob DutiesDate Started Date Format: MM slash DD slash YYYY Date Left Date Format: MM slash DD slash YYYY Beginning SalaryEnding SalaryReason for LeavingPrevious Employment 3Company Name, Address, and PhoneCompany BusinessImmediate SupervisorYour PositionTitleJob DutiesDate Started Date Format: MM slash DD slash YYYY Date Left Date Format: MM slash DD slash YYYY Beginning SalaryEnding SalaryReason for LeavingPrevious Employment 4Company Name, Address, and PhoneCompany BusinessImmediate SupervisorYour PositionTitleJob DutiesDate Started Date Format: MM slash DD slash YYYY Date Left Date Format: MM slash DD slash YYYY Beginning SalaryEnding SalaryReason for LeavingJob DutiesAre there any job duties that you would be unable to perform?Have you ever applied to this company before?YesNoIf yes, where and when did you apply?Are you employed now?YesNoIf yes, what is your employer's phone number?Please provide the name, address, phone, and relationship of a person to notify in case of emergency:1. I authorize investigation of all statements contained in this application.* Yes No 2. I understand that misrepresentation or omission of facts called for is cause for dismissal and that my employment is substantially dependent on truthful answers to the forgoing inquiries.* Yes No 3. I have read these statements and answers to these inquiries.* Yes No Today's Date* Date Format: MM slash DD slash YYYY This iframe contains the logic required to handle Ajax powered Gravity Forms.
