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Job Application

"*" indicates required fields

Applicant Information

Are you at least 18 years of age?*
Which locations do you desire employment? Check all that apply.*
What is your availability? Check all that apply.*
For what position(s) are you applying? Check all that apply.*
How many years experience do you have in the restaurant industry?*

Personal Information

Mailing Address*

Employment Desired

MM slash DD slash YYYY
Weekly Hours*
Specify Days Available*
Have you ever worked for this Company before?*


Did you graduate from high school?

Additional Education

Complete the following for all education after high school:

Additional Education #1

Did you graduate?

Additional Education #2

Did you graduate?

Additional Education #3

Did You Graduate?

Employment History

Describe ALL previous employment. Begin with your most recent employer. Do not omit any employer and describe the reason for any gaps in employment. Use additional paper if necessary to provide a complete response.

Employer #1

Employer #2

Employer #3


Identify three persons, not related to you, whom you have known for at least two years.

Reference #1

Reference #2

Reference #3

Additional Information & Notices

Have you ever initiated an act of violence in the workplace?*
You may be required to answer questions about criminal convictions if a job offer is extended. The Company will make an individualized evaluation of whether your conviction history has a direct and adverse relationship with the specific job duties job. Factors considered will include the nature and gravity of the offense, date of the conviction, the completion of a sentence, and the nature of the job applied for. You may be required to undergo a drug/alcohol examination. The examination includes laboratory testing or a urine sample from a prospective employee to determine the presence of certain drugs and/or alcohol in the body. You should not rely upon a contingent offer of employment from Mikuni Restaurant Group, Inc. or otherwise engage in any activity based upon a contingent offer of employment. Unless or until a final offer of employment is made, you should not take any action which could result in financial loss if a contingent offer is withdrawn, such as giving notice of intent to terminate current employment, selling real estate, or incurring any other costs associated with accepting employment with Mikuni Restaurant Group, Inc. No such activity should be undertaken until after medical clearance has been received and you have received a final offer of employment from Mikuni Restaurant Group, Inc. Under no circumstances should you report to work before medical clearance is received. New employees are required to produce verification of their legal right to work in the United States.
If you are offered employment, can you produce documentation of your identity and right to work in the United States, and attest under penalty of perjury that the documents you produce are genuine and relate to you? _*


I authorize the investigation of all information provided in this application, information provided in the application process and in any supporting documents. I understand that falsification, misrepresentation or omission of facts will result in immediate dismissal or removal of my application from consideration. I authorize Mikuni Restaurant Group, Inc. to secure information about my background and experience from other employers, educational institutions, references and government agencies, and for those parties to provide information concerning my background and experience. I release all parties from any liability arising there from. If Mikuni Restaurant Group, Inc. employs me, I agree to conform to the rules and regulations of Mikuni Restaurant Group, Inc. I also understand and agree that, except for arbitration and employment at-will status, my wages, hours, working conditions, job assignments and compensation are subject to change by Mikuni Restaurant Group, Inc. I understand my employment can be terminated, with or without cause and with or without notice, at any time at the option of Mikuni Restaurant Group, Inc. or myself. I understand that, other than the President of Mikuni Restaurant Group, Inc., no manager, supervisor or representative of Mikuni Restaurant Group, Inc. has authority to enter into any agreement for employment for any special period of time, or to make any agreement contrary to at-will employment. Only the President of Mikuni Restaurant Group, Inc. has the authority to change my at-will status, and then only in a writing expressly changing my at-will status and expressly referencing and waiving these policies.


To resolve disputes arising from the application process or from the employment relationship (if I am offered employment) in an efficient and cost-effective manner, I and Mikuni Restaurant Group, Inc. agree that any and all such claims that could be filed in a court of law, including but not limited to, claims of unlawful harassment or discrimination, wrongful failure to hire, wrongful demotion, defamation, wrongful discharge, breach of contract or invasion of privacy, shall be submitted to final and binding arbitration, and not to any other forum. The arbitrator shall conduct the arbitration in accordance with the procedures set forth in the most recent versions of the National Rules for the Resolution of Employment Disputes of the American Arbitration Association. However, no procedures of the American Arbitration Association shall invalidate the enforceability of this Agreement. The arbitration need not be administered by the American Arbitration Association. Mikuni Restaurant Group, Inc. shall pay the costs that are unique to the arbitration forum, such as the arbitrator’s fee. The arbitrator shall determine the prevailing party in the arbitration. Costs and attorneys’ fees shall be awarded to the prevailing party in accordance with the same legal standards that would apply had the action been filed in court. The arbitrator shall have the authority to order any legal and/or equitable remedy that would be available in a civil or administrative action on the claim. The arbitrator shall prepare a brief written decision that includes the essential findings and conclusions upon which the award is based. This arbitration shall be the exclusive means of resolving any claim arising out of my application for employment and employment (if any), and no action will be filed in any court or other forum. However, nothing in this agreement will affect National Labor Relations Board, Workers’ Compensation Appeals Board, Unemployment Insurance Appeals Board, Department of Fair Employment and Housing or Equal Employment Opportunity Commission proceedings, petitions for judicial review of a decision issued after an administrative hearing or the ability of either party to seek injunctive relief in an appropriate court of law. If any court of competent jurisdiction declares that any part of this arbitration agreement is illegal, invalid or unenforceable, such a declaration will not affect the legality, validity or enforceability of the remaining parts of the agreement and the illegal, invalid or unenforceable part will no longer be part of this agreement. This Arbitration Agreement is a Waiver of All Rights to a Civil Jury Trial for Any Claim Arising the Application for Employment and Employment (if any).


My signature below certifies that I have read and understand this application, and to the best of my knowledge, the information I provided is true and correct. My signature below also certifies that I agree to be bound by the terms and conditions of employment stated in this application, including at-will employment and arbitration of disputes. This application contains all the understandings and agreements between me and Mikuni Restaurant Group, Inc. concerning the nature of my employment, if any, by Mikuni Restaurant Group, Inc., and supersedes all prior and/or contemporaneous practices, oral or written agreements, understandings, representations and promises, express or implied, between me and Mikuni Restaurant Group, Inc.
MM slash DD slash YYYY


It is Mikuni Restaurant Group, Inc.’s policy to make all employment decisions without regard to an individual’s race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, military and veteran status, registered domestic partner status or any other basis made unlawful by applicable law. Mikuni Restaurant Group, Inc. is an equal opportunity employer and selects employees on the basis of qualifications. Please contact the General Manager of Mikuni Restaurant Group, Inc. if you have any questions or complaints regarding this policy.