Careers - www.yakitana.com

Phone Number (By providing this phone number you acknowledge that you may receive work-related calls and text messages from this Organization. Check with your manager or owner operator for how the organization may use your phone number.)

Email Address (This Organization will send work-related emails to this email address and will use the email address to provide you with access to certain Yakitana systems. Check with your manager for how the organization may use your email address. This email address should be unique to you and not shared with others.)

Street Address (Line 1)

Street Address (Line 2)

Date of Birth (MM/DD/YYYY)

Social Security Number

1st) Emergency Contact First Name/Last Name

1st) Emergency Contact Phone Number

2nd) Emergency Contact First Name/Last Name

2nd) Emergency Contact Phone Number

If you are currently in school, or plan to go to school wtihin the year, please confirm which school you attend. If not, you can skip this section.

Do you have an up to date Food Handlers Certificate?

Yes Not yet

What Role(s) would you like to apply for?

How many hours a week would you like to work?

What Days do you prefer to work? (Check all that apply)

What shifts do you prefer to work?

EEO Voluntary Self-Identification

This employer is subject to certain governmental recordkeeping and reporting requirements. In order to comply with these requirements, it must offer job seekers the opportunity to self-identify for race/ethnicity, gender, disability, and protected veteran status.

Self-identification is voluntary and your decision to provide or not provide this information will not affect your application for employment in any way. Any information you disclose will be treated as confidential and used only in accordance with applicable law.

This employer appreciates that some individuals may find this request intrusive. You may decline to disclose any or all of this information by checking the appropriate boxes below.

Gender

Male Female Other I prefer not to disclose

Ethnicity

Are you / were you a member of the U.S. Military

Voluntary Self-Identification of Disability

Why are you being asked to complete this form?

We must reach out to, hire, and provide equal opportunity to qualified people with disabilities. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is volumtary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used againat you in any way. If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of punishment because you did not identify as having a disability earlier.

How do I know if I have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Please provide an answer below

Yes, I have a disability (or previously had a disability) No, I do not have a disability No, I do not wish to answer

Please submit your resume if you have one

Please upload a valid proof of Government/State issued identification (Drivers License, Identification Card, Passport, etc)

Federal Tax Forms - Please submit a completed W-4 Form. You can find this form on the IRS website.

State Tax Forms - Please submit a completed "DE 4 Rev. 47 (12-18) (INTERNET)". You can find this form on the EDD website.

Please confirm you have reviewed these documents.

I have reviewed these documents and all information is correct.

Health Questions

1. Do you agree to report to your restaurant manager if you have an illness diagnosed by a health practitioner due to Norovirus, Salmonella (including Typhoid), Shigella, shiga toxin producing or other type of ESCHERICHIA COLI, Campylobacter, or Hepatitis A or E virus? Or if you have been in close contact with someone at home, work or school that is ill with one of these foodborne pathogens?

2. Do you agree to report to your restaurant manager any Health Department or Board of Health investigation in which you may be involved?

3. Do you agree that you will report to your restaurant manager an onset of the following symptoms*, including the date of onset while either at work or outside work? *diarrhea, vomiting, jaundice, sore throat, a lesion containing pus such as a boil or infected wound that is open or draining even if the lesion is protected and covered.

Please note: Prices are subject to change. Delivery app food prices may be higher to offset delivery fees.