Employment Application www.gyotakuhawaii.com Recruiting/Training Dept: (808) 949-4584 et-!4"" emai#: $o%&'gyotakuhawaii.com (u&ine&& )**ice 98-0+, -ekaha .t/ 0nit 1 2iea/ -3 9!,0"-49"9 4aima#u Re&taurant 98-"++! 5aahumanu .t. 6ear# 7ity/ -3 9!,8+ 48,-009" 5ing .treet Re&taurant "8+4 .. 5ing .t. -ono#u#u/ -3 9!8+! 949-4584 8iu 9a##ey Re&taurant 5,10 5a#anianao#e -wy/ 0nit (5 -ono#u#u/ -3 9!8+" 1,1-+,1" 2ikahi 6ark Re&taurant +5 5aneohe (ay Dr/ .uite 100 5ai#ua/ -3 9!,14 +54-1000 Date / / 8ame :a&t ;ir&t < Do you ha=e a =a#i> ..?@ Ae& 8o 2>>re&& 6hone ? 7ity/ .tate Bip 7o>e Cmai#: In case of emergency, please notify: 8ame :a&t ;ir&t < Re#ation&hip 2>>re&& 6hone ? 7ity/ .tate Bip 7o>e Applying For 6o&ition ;u## Time 6art Time .ea&ona# 2=ai#a%#e *rom / / Cpecte> Carning& D Sun Mon Tue Wed Thu Fri Sat From Until Preferred Location 6ear# 7ity on 5aahumanu .t. 5ing .t. in <c7u##y 8iu 9a##ey .hopping 7enter 2ikahi 6ark .hopping 7enter 2ny :ocation -a=e you e=er %een emp#oye> %y RC3 ;oo> .er=ice/ ::7 %e*ore@ 3* &o/ when@ -a=e you e=er app#ie> *or work at RC3 ;oo> .er=ice/ ::7 %e*ore@ 3* &o/ when@ -ow were you re*erre> to our company@ 3& a *ami#y mem%er or *rien> current#y emp#oye> %y u&@ 3* &o/ name@ Re#ation&hip 05 19 2014 Pabalinas J oey S X mployment !ecord: :i&t pa&t an> pre&ent emp#oyer& (%egin with the mo&t recent) 7ompany 2>>re&& Eo% Tit#e Date .tarte> / / Date :e*t / / Eo% >utie& 4hy >i> you #ea=e@ .tarting 6ay Rate / .a#ary Cn>ing 6ay Rate / .a#ary <ay we contact your &uper=i&or@ Ae& 8o .uper=i&or 8ame 7ontact 6hone 8um%er 7ompany 2>>re&& Eo% Tit#e Date .tarte> / / Date :e*t / / Eo% >utie& 4hy >i> you #ea=e@ .tarting 6ay Rate / .a#ary Cn>ing 6ay Rate / .a#ary <ay we contact your &uper=i&or@ Ae& 8o .uper=i&or 8ame 7ontact 6hone 8um%er 7ompany 2>>re&& Eo% Tit#e Date .tarte> / / Date :e*t / / Eo% >utie& 4hy >i> you #ea=e@ .tarting 6ay Rate / .a#ary Cn>ing 6ay Rate / .a#ary <ay we contact your &uper=i&or@ Ae& 8o .uper=i&or 8ame 7ontact 6hone 8um%er 7ompany 2>>re&& Eo% Tit#e Date .tarte> / / Date :e*t / / Eo% >utie& 4hy >i> you #ea=e@ .tarting 6ay Rate / .a#ary Cn>ing 6ay Rate / .a#ary <ay we contact your &uper=i&or@ Ae& 8o .uper=i&or 8ame 7ontact 6hone 8um%er -a=e you #i&te> a## pa&t emp#oyer&@ Ae& 8o 3* not/ p#ea&e ep#ain mployment "aps: Describe any periods of unemployment longer than several weeks during the past 10 years, other than those due to personal illness, injury or disability ducation School #ame and Location $ourse % Ma&or 'ears $ompleted "raduated ( )igh "( )+( )1( )4( ) AC.( )/8)( ) $ollege "( )+( )1( )4( ) AC.( )/8)( ) Trade "( )+( )1( )4( ) AC.( )/8)( ) *o+ S,ills - .ualifications Summarize any special training, skills and/or certificates that may assist you in performing the position for which you are applying !ist and describe any job"related awards or accomplishments you have received Please indicate /hat foreign languages you spea, read or /rite0 Fair "ood Fluently Spea, !ead Write Personal Information 2re you at #ea&t "8 year& o* age@ Ae& ( ) 8o ( ) 7an you *urni&h proo* o* age@ Ae& ( ) 8o ( ) Do you ha=e acce&& to re#ia%#e tran&portation that wi## en&ure you are a%#e to report to work when &che>u#e>@ Ae& ( ) 8o ( ) Do you ha=e a =a#i> -awaii Dri=erF& :icen&e@ Ae& ( ) 8o ( ) Do you ha=e a current :iGuor 7ommi&&ion (#ue 7ar>@ Ae& ( ) 8o ( ) 2## emp#oyee& mu&t ha=e =a#i> >ocumente> T( c#earance *rom an authoriHe> &tate agency or pri=ate phy&ician (mu&t %e marke> Ic#earanceJ or Inegati=e re&u#tJ).7an you pro=i>e =a#i> T( c#earance >ocumentation@ Ae& ( ) 8o ( ) The Department o* 3mmigration an> 8atura#iHation reGuire& that a## per&on& emp#oye> %y u& mu&t pro=i>e >ocument& =eri*ying i>entity an> emp#oyment e#igi%i#ity %e*ore they may &tart work. <anagement wi## noti*y potentia# emp#oyee& o* accepta%#e >ocument& an> wi## re=iew them at the time emp#oyment i& o**ere>. 3* hire>/ can you pro=i>e written e=i>ence that you are authoriHe> to work in the 0... @ Ae& ( ) 8o ( ) 3 un>er&tan> that certain po&ition& in the company reGuire %eha=ior a&&e&&ment& a& we## a& &ki## an> aptitu>e te&ting a& part o* the emp#oyment can>i>ate &e#ection proce&&. 3 am wi##ing to participate in any pre-emp#oyment te&ting o* thi& nature. 2gree ( ) Di&agree ( ) 3 un>er&tan> that Kyotaku i& a I>rug *reeJ workp#ace an> any o**er o* emp#oyment may %e &u%$ect to &ucce&&*u# comp#etion o* a >rug te&t. 3 am wi##ing to un>ergo >rug te&ting a& a con>ition o* emp#oyment. 2gree ( ) Di&agree ( ) (ecau&e o* the >e#ay an> epen&e that re&u#t *rom the u&e o* the *e>era# an> &tate court &y&tem&/ 3 wi## agree to u&e %in>ing ar%itration *or any an> a## contro=er&ie& concerning my emp#oyment with RC3 ;oo> .er=ice/ ::7 a& a term an> con>ition o* emp#oyment an> that the co&t o* the ar%itration &ha## %e pai> %y RC3/ %ut each in>i=i>ua# party wi## pay their own attorney *ee& an> other co&t&. 2gree ( ) Di&agree ( ) 3 un>er&tan> an> agree that RC3 ;oo> .er=ice/ ::7 (herea*ter the 7ompany) may make a *u## an> comp#ete in=e&tigation o* my per&ona# or emp#oyment hi&tory/ an> authoriHe any *ormer emp#oyment hi&tory/ an> authoriHe any *ormer emp#oyer/ per&on/ *irm/ corporation/ &choo#/ go=ernment agency/ or other entity to pro=i>e the 7ompany with any in*ormation (inc#u>ing *act or opinion) they may ha=e regar>ing me. 3n con&i>eration o* the 7ompanyF& re=iew o* thi& app#ication/ 3 re#ea&e the 7ompany an> a## pro=i>er& o* any in*ormation *rom any #ia%i#ity which may ari&e a& a re&u#t o* *urni&hing an> recei=ing thi& in*ormation. 3 un>er&tan> an> agree any emp#oyment o**er or continue> emp#oyment &ha## %e con>itiona# on the receipt o* &ati&*actory re*erence& a& >etermine> %y the 7ompany. 2gree ( ) Di&agree ( ) 3* emp#oye> %y the 7ompany/ 3 *urther authoriHe RC3 ;oo> .er=ice/ ::7 to pro=i>e truth*u# in*ormation (inc#u>ing *act or opinion) regar>ing my emp#oyment to any potentia# or *uture emp#oyer an> re#ea&e an> wai=e any c#aim& again&t the 7ompany *or truth*u##y communicating &uch in*ormation to a potentia# or *uture emp#oyer. 2gree ( ) Di&agree ( ) 1elo/ is a list of company policies and re2uirements /hich applicants should +e a/are of /hen applying for employment /ith !I Food Ser3ice, LL$0 Please read these and chec, each item ac,no/ledging that you ha3e read each one and are /illing to a+ide +y them as a condition of employment ( )3n or>er to pro=i>e our cu&tomer& with parking/ emp#oyee& are prohi%ite> *rom parking in the cu&tomer parking ar- ea&. Cmp#oyee& mu&t park o** company premi&e& at their own epen&e. ( )<anagement wi## work a& c#o&e#y with &ta** mem%er& a& po&&i%#e to make &che>u#e& con=enient. -owe=er/ &che>u# - ing i& >one on an Ia& nee>e>J %a&i& an> i& &u%$ect to change *rom week to week. There are no guarantee> &che>u#e& or work #ocation&. Cmp#oyee& may %e reGuire> to work at other company #ocation& %a&e> on %u&ine&& nee>&. 2n emp#oyee& ina%i#ity to work *#ei%#e &hi*t& to meet %u&ine&& nee>& may re&u#t in re>uce> hour& an> mo>i*ie> &hi*t&. ( ))ur company an> &ta** p#ace a high =a#ue on pro*e&&iona# accounta%i#ity. There*ore/ tar>ie& an> a%&ence& are con&i>- ere> a& per*ormance %eha=ior an> treate> accor>ing#y. Tar>y i& >e*ine> a& c#ocking in one minute or more a*ter the &che>u#e> time. 2%&ence i& >e*ine> a& *ai#ure to work a &hi*t a& &che>u#e>. ( )Cmp#oyee& working 5 or more hour& are e#igi%#e *or a 10 minute mea# %reak a& a&&igne> %y their &uper=i&or. Cmp#oy- ee& mu&t c#ock out *or their mea# %reak& an> *o##ow company mea# po#icie&. The emp#oyee mea# i& pro=i>e> at no co&t to the emp#oyee %y the company. ( )Cmp#oyee& are reGuire> to atten> man>atory company training work&hop& when a&&igne>. ;ai#ure to atten> a &che>- u#e> work&hop wi## %e con&i>ere> a Ino &how - no ca##J an> wi## %e &u%$ect to appropriate >i&cip#inary action. Cmp#oyee& wi## %e pai> *or atten>ing work&hop& an> training &e&&ion&. ( )3n or>er to protect the hea#th o* our emp#oyee& an> gue&t&/ an> to comp#y with #oca# #aw&/ &moking %y emp#oyee& i& prohi%ite> within the con*ine& o* our re&taurant %ui#>ing&. .moking %y emp#oyee& wi## %e permitte> on#y in >e&ignate> ar- ea& out&i>e whi#e on authoriHe> %reak&. ( )6er&ona# hygiene i& a critica# *actor in *oo> &a*ety. 3n or>er to maintain the highe&t #e=e# o* &anitation an> *oo> &a*ety in our re&taurant&/ emp#oyee& in=o#=e> on *oo> pro>uction an> &er=ice are not permitte> to wear $ewe#ry or watche& on the wri&t& or han>& whi#e on >uty. ( )3n or>er to en&ure a &a*e working en=ironment an> pre=ent in$urie& to our emp#oyee&/ a## emp#oyee& are reGuire> to wear company-appro=e> &a*ety &hoe& whi#e on >uty. 2## emp#oyee& are epecte> to comp#y with company uni*orm an> appearance &tan>ar>&. ( )3 un>er&tan> that/ i* hire>/ my emp#oyment wi## %e on an at-wi## %a&i& an> that 3 may %e >i&mi&&e> or re&ign at any time without a>=ance notice. 3 certi*y that to the %e&t o* my know#e>ge the *oregoing &tatement& an> in*ormation gi=en %y me are true. 3 un>er&tan> that i* 3 am hire>/ any mi&repre&entation or omi&&ion %y me herein wi## %e &u**icient cau&e *or >i&mi&&a# *rom the com- pany. 3 a#&o authoriHe any in=e&tigation o* the a%o=e in*ormation/ ecept where note> otherwi&e *or purpo&e o* =eri*ica- tion. 6rinte> 8ame Date / / .ignature "+-"!-"1