First Name:
Last Name:
DOB -
Day | Month | Year:
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Mailing Address:
City:
State:
Zip Code:
Cell Phone:
Home Phone:
E-Mail Info:
U.S. Citizen:
Yes
No
If checked No, do you have a legal right to work in the U.S. and what is your status?
Have you ever been convicted of a crime other than a misdemeanor or traffic infraction? Conviction is not an automatic bar to employment.
Each case will be considered on its own merits. Note: Conviction is not an automatic bar to employment. Each case will be considered on its own merits.
Yes
No
Position that you are applying for at SOTR:
Chef
Chef Trainee
Delivery
Other (Please describe below)
What is your applying preference?
Full-Time
Part-Time
Seasonal
How long do you plan on working with us?
Less than 6 months
One Year
More than One Year
Please specify your availability for work in any shift.
(Times are approximated, does not imply that you work all shifts checked)
MORNING
SHIFT
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
NIGHT
SHIFT
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Date you can begin -
Day | Month | Year:
DD
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MM
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1998
1999
2000
Education:
Please list most recent first.
WORK EXPERIENCE OR REFERENCES
Please list your present or most recent experience or reference first.
Employer:
Employer Phone:
Employment Start Date:
DD
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MM
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1967
1968
1969
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1972
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1976
1977
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1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
Employment End Date:
DD
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MM
01
02
03
04
05
06
07
08
09
10
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12
YYYY
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
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1961
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1968
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1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
Address:
Address:
City:
State:
Zip Code:
Phone:
May we contact
for reference?
Yes
No
Reason for leaving:
Description of Duties:
I hereby certify that the information contained in this form is true and correct. I authorize Sushi on the Roll 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 Sushi on the Roll. Sushi on the Roll 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.