Employment Application
Applicant Information
Full Name: Kamaka Iwalani Date of birth: 06/16/2005
Last First M.I.
2215 Apaakuma St
Address:
Street Address Apartment/Unit #
Pearl City Hi 96782
City State ZIP Code
(808)517-7316 kamaka.i@yahoo.com
Phone: Email
Date Available once hired: 8/15/23 Social Security No: 750-03-4843
YES NO YES NO
Are you a citizen of the United States? ✔ If no, are you authorized to work in the U.S.?
YES NO
Have you ever worked for this company? ✔ If yes, when?
YES NO
Have you ever been convicted of a felony? ✔
If yes, explain:
What days are you available to work? Mon Tues Wed Thurs Fri Sat Sun
Morning
Mid-day ✔ ✔ ✔ ✔ ✔ ✔ ✔
Evening ✔ ✔ ✔ ✔ ✔ ✔ ✔
Available to work Holidays? YES NO
✔
How did you hear about this position? A friend (Chaya Sabas)
Education
High School: Pearl City Highschool Address: 2100 Hookiekie St. Pearl City, Hi 96782
YES NO
From: To: Did you graduate? ✔ Diploma:
College: Address:
YES NO
From: To: Did you graduate? Degree:
Other: Address:
YES NO
From: To: Did you graduate? Degree:
1
References
Please list two (if any) professional references.
Full Name: Julie Pescador Relationship: Manager
Company: Jamba Juice Phone: (808)488-6246
Address: 98-1277 Ka'ahumanu St #6, Aiea, Hi, 96701
Full Name: Sarah Ngyen Relationship: Manager
Company: Pizza Press Pearl City Phone: (808)744-7771
Address: 1000 Kamehameha Hwy Suite 233 pearl city, hi, 96782
Previous Employment
Company: Pizza Press Pearl City Phone: (808)744-7771
Address: 1000 Kamehameha Hwy Suite 233,Pearl City, Hi Supervisor: Sarah Ngyen
Job Title: Senior Editor Starting Date: March 2023 Ending Date: April 2023
Responsibilities: Leadership, Food Service, Customer Service, Register
May we contact your previous supervisor YES NO
for a reference? ✔ Reason for leaving Better Opportunities
Company: Jamba Juice Phone: (808)488-6246
Address: 98-1277 Ka'ahumanu St #6, Aiea, HI, 96701 Supervisor: Julie Pescador
Team Lead
Job Title: Starting Date: october 2022 Ending Date: present
Responsibilities: cash handling, surpervising, labor managment, food handlers
May we contact your previous supervisor for YES NO
a reference? ✔ ✔ Reason for leaving Still Employed
Disclaimer and Signature
I declare under penalty of perjury that I personally completed this application and that, to the best of my knowledge, the
information contained in this application is true and complete. I understand that any false information or significant omissions
may disqualify me from further consideration of employment and, in the event I become employed, may result in the
termination of my employment if discovered at a later date
I authorize all the schools, persons and organizations named in this application to provide any relevant information in their
possession or knowledge to the agents of Sharetea, for use in deciding whether or not to offer me employment and specifically
waive any required written notification. I hereby release Sharetea, my former employers and all other persons from any and all
claims, demands, or liabilities arising out of or in any way related to such inquiry or disclosure.
I understand and agree that the employment for which I am applying for is at-will and such employment may be terminated at
any time with or without cause, without prior notice, by either myself or Sharetea. There will be no agreement, express or
implied between Sharetea and me for any specific period of employment, nor for continuing or long-term employment, unless
made in writing, signed by an authorized representative of Sharetea.
I have placed my signature in the space provided below only after I have completed the entire application to the best of my
ability and have carefully read the statements above.
Signature: Iwalani Kamaka Date: 08/24/2023
