Application Form

Please fill out the Form below and press the "Submit" button when you are done.

First Name *
Middle Name *
Last Name *
Social Security Number
Date *
Street Address
City *
State *
Zip *
E-mail *
Home Phone Number
Cell Phone Number
Position(s) Desired:
Are you 18 years of age or over? Yes No
If no, please state which type of work permit you have:
Have you had previous hotel or restaurant experience? Yes No
If yes, where and when?
If you are neither a citizen nor a permanent resident of the United States, do you currently have a visa that entitles you to work? Yes No
Some positions involve the handling and/or service of alcoholic beverages; therefore, upon acceptance of an offer of employment, could you provide proof of being at least 21 years of age if we asked to do so? Yes No
Have you been convicted of a felony within the last five years? Yes No
If yes, please state the nature of the offense, the date, place, and disposition (do not include minor traffic violations):
NOTE: A conviction record does not automatically disqualify an applicant from being hired.
Prefer Employment: I Can Work: Skills:
Full Time Monday: Friday: Typing WPM Other skills (Specify)
Part Time Tuesday: Saturday: 10-key Access
Wednesday: Sunday: Word Excel  
Thursday:   PowerPoint    
Foreign Language Skills Reading Speaking Writing Understanding
Excel Good Fair Excel Good Fair Excel Good Fair Excel Good Fair
Type of School Name, city and
state of school
Courses majored in Check last year complete Graduate? Which degree?
1 2 3 4
High School Yes No Degree:
College Yes No Degree:
College Yes No Degree:
Graduate School Yes No Degree:
Other Training
or Schooling
Duration: Yes No Degree:
Duration: Yes No Degree:
Employment Record: State your most recent employment first - include military service.
If you are currently employed, may we contact your recent employer? Yes   No
1. Company Or Employer 1. Street Address Telephone No. 1. First Position Reason
For Leaving
2. Your Supervisor's Name 2. City & State 2. Second Position
1. 1. 1.
2. 2. 2.
1. 1. 1.
2. 2. 2.
1. 1. 1.
2. 2. 2.
1. 1. 1.
2. 2. 2.
1. 1. 1.
2. 2. 2.
If you worked for any of the above employers under a name other than your present one, please state which name(s) you used and at which employer(s).
(NOTE: This is for reference - check purposes only.)
(Select file to upload resume)
Torrance California Hotel Application Form
Torrance California Hotel Deal
Miyako Hybrid Hotel japanese flag
Torrance California Green Hotel
California Silver Certified Hotel

Miyako Hybrid Hotel - Torrance, California (CA)
21381 S. Western Avenue, Torrance, California 90501
Contact: 310-212-5111 Fax: 310-212-5112
Book Now