MUSUBI CAFE IYASUME（いやす夢）

Applicant Information

Applicant Name :

Address :

City, State and Zip Code :

Contact Number :

Email Address :

Date of Application :

Employment Position

What location are you applying for? (check at least 2 or more)

Waikiki MONARCH Waikiki SEASIDE Waikiki ENA Ala Moana SHIROKIYA Ala Moana LANAI KAHALA

How did you hear about us?

What days are you available for work?

What hours are you available for work?

When can you start working if you are hired?

Personal Information

Have you ever applied to or worked for IYASUME MUSUBI CAFÉ before?

YES NO If yes, when

Do you have any friends or relatives working for IYASUME MUSUBI CAFÉ?

YES NO If yes, state name and relationship

Are you 18 years of age or older?

YES NO

Are you a U.S. citizen or approved to work in the United Sates?

YES NO *MUST prove citizenship or legal status and SSN card*

Do you have any condition which would require any medication?

YES NO If yes, please describe accommodations required below.

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

YES NO
If yes, please state the nature of the crime, when and where convicted and disposition of the case

(Note : No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position which you are applying :

(Note : Tonsuke Corporation dba IYASUME MUSUBI CAFÉ complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

Education and Training

HIGH SCHOOL

College/University

Specialized Training

Previous Employment

Most recent

Job description and performance :

Employer Contact Number :

Reason for leaving :

Two Previous

Job description and performance :

Employer Contact Number :

Reason for leaving :

Three ago

Job description and performance :

Employer Contact Number :

Reason for leaving :

References

Please list below the skills and qualifications you possess for the position which you are applying :

AT-WILL EMPLOYMENT

The relationship between you and Tonsuke Corporation dba IYASUME MUSUBI CAFÉ is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Tonsuke Corporation dba IYASUME MUSUBI CAFÉ. No representative of Tonsuke Corporation dba IYASUME MUSUBI CAFÉ has authority to enter into any agreement contrary to the foregoing “employment at will” relationship. You understand that your employment is “at will,” and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by our President or Vice President of the company.

Applicant signature :

Dated :