For SUSHIC office use only
Sushi bar Application
Applicant Information
Full Name:
Date:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
City
State
Phone:
Email
Date of birth:
Do you have a driver’s license?
ZIP Code
Social Security No.:
YES
NO
Driver’s license number:
YES
NO
YES
Are you a citizen of the United States?
NO
If no, are you authorized to work in the U.S.?
YES
NO
Have you ever been convicted of a felony?
If yes, explain:
Applicant’s employee
YES
Other person / partners willing to work with you?
NO
(If yes, please fill out the following):
1. Full Name:
Relationship:
Phone:
SSN.
2. Full Name:
Relationship:
Phone:
SSN.
3. Full Name:
Relationship:
Phone:
SSN.
4. Full Name:
Relationship:
Phone:
SSN.
1
Previous Employment
Company:
Phone:
Address:
Supervisor:
Job Title:
Responsibilities:
From:
To:
Reason for Leaving:
Company:
Phone:
Address:
Supervisor:
Job Title:
Responsibilities:
From:
To:
Reason for Leaving:
Company:
Phone:
Address:
Supervisor:
Job Title:
Responsibilities:
From:
To:
Reason for Leaving:
Personal References
Give Reference (not relatives) from whom references may be sought.
Please list at least two references other than the employer’s listed above.
1. Full Name:
Relationship:
Phone:
Occupation:
Address:
2. Full Name:
Relationship:
Phone:
Occupation:
Address:
3. Full Name:
Relationship:
Phone:
Occupation:
Address:
2
Applicant Questionnaire
Please write your geographical preferences:
City Choice 1:
City Choice 2:
City Choice 3:
City Choice 4:
Please answer the following 9 questions.
1. Why do you want to become a SUSHIC sub-contracted partner?
2. Are you prepared to devote your full-time and best efforts in the day-to-day, hands-on operation of a subcontracted sushi bar? If no, please explain.
3. Are you willing to move to other cities from your current resident location? If no, please explain.
4. If selected as a sushi bar operator, will you be able to attend an intensive 2 weeks partner training
program to be conducted primarily at SUSHIC, LLC corporate office in Houston Texas? If no, please
explain.
5. Are you be able to pay SUSHIC, LLC the initial deposit fee of $5,000 and other required financial
investment? If no, please explain.
6. Have you ever filed for bankruptcy or for general protection from your creditors? If yes, please explain.
7. Have you applied to become a SUSHIC partners in the past? If so, when?
8. Do you have any experience working for any of SUSHIC sub-contracted sushi bar? If yes, please
describe.
9. Do you have any experience leading a team of people? If yes, how will this make you successful
operating a SUSHIC sushi bar unit?
3
Application Form Waiver
PLEASE READ CAREFULLY
In exchange for the consideration of my job application by SUSHIC, LLC:
I authorize investigation of all statements contained in this application. I understand that the
misrepresentation or omission of facts called for is cause for dismissal at any time without any previous
notice. I hereby give SUSHIC, LLC permission to contact previous employers (unless otherwise noted),
references and others, and hereby release SUSHIC, LLC from any liability as a result of such contract.
I understand that, in connection with the routine processing of your employment application, SUSHIC,
LLC may request from a consumer reporting agency an investigative consumer report including
information as to my credit records, character, general reputation, personal characteristics, and criminal
check. Upon written request from me, SUSHIC, LLC will provide me with additional information
concerning the nature and scope of any such report requested by it, as required by the Fair Credit
Reporting Act.
Signature:
Date:
SUSHIC, LLC is an equal employment opportunity employer. We adhere to a policy of making
employment decisions without regard to race, color, religion, sex, sexual orientation, national origin,
citizenship, age, or disability. We assure you that your opportunity for employment with this company
depends solely on your qualifications.
Thank you for completing this application form and for your interest in our business.
Please send your completed application form through mail, fax, or email to:
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4
1249 Blalock Road, Suite D Houston,
Texas 77055
TEL. 713-973-6073
FAX: 713-722-0749
Email: [email protected]