CHICHA San Chen
301 West Valley Boulevard, #116
San Gabriel, CA 91776
626-766-1512

Order Online Open at 12 Noon

Join Our Team

Pleases submit your application by completing the following form

Date of Application:

AN EQUAL OPPORTUNITY EMPLOYER
Name:  
Address:  
City:   State:   Zip:  
Phone:   Date of Birth:  
Email:
  (please provide for background check)
Location:  
 
 
GENERAL INFORMATION
Position applied for:   Available to work:
Available to work Full-Time Part-Time
Date available to start work:    
 
Fill in the hours you're available to work.
Monday
From

To
Tuesday
From

To
Wednesday
From

To
Thursday
From

To
Friday
From

To
Saturday
From

To
Sunday
From

To
 
If you are under the age of 18, can you provide a work permit if offered a job?
If you are under the age of 18, can you provide a work permit if offered a job? Yes No
If you are not a U.S. citizen, do you have the right to work in the U.S.?
If you are not a U.S. citizen, do you have the right to work in the U.S.? Yes No
Are you able to perform the essential duties of the position for which you are applying?
Are you able to perform the essential duties of the position for which you are applying? Yes No
Are you a veteran of the United States military service?
Are you a veteran of the United States military service? Yes No
Have you been convicted of a felony within the last seven years?
Have you been convicted of a felony within the last seven years? Yes No
 
If yes, please identify the charge, the court, the date of conviction, and the disposition of the case:
Have you ever applied for a position with or worked for this Company?
Have you ever applied for a position with or worked for this Company? Yes No
If yes, specify dates:
 
 
EDUCATION
  Name of School and Address Major Years Completed Did you Graduate
High School
Did you Graduate Yes No
College
Did you Graduate Yes No
Other (Specify)
Did you Graduate Yes No
 
Other Languages Spoken:
 
 
EMPLOYMENT HISTORY
Please list your present and past work experience for the past 10 years, beginning with the most recent.
 
Name of Employer:
From:   Month Year
To:   Month Year
Pay: Starting Final
 
Address:
Street, City & State:
Position: Telephone:
Description of Duties: Supervisor:
Reason for Leaving: May we contact?
May we contact? Yes No

Name of Employer:
From:   Month Year
To:   Month Year
Pay: Starting Final
 
Address:
Street, City & State:
Position: Telephone:
Description of Duties: Supervisor:
Reason for Leaving: May we contact?
May we contact? Yes No
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