Aug 01, 2007 15:13
[The following was released by company president UCHIHA MIKOTO at 0100 hours on the first of August, 2007. It's contents are to be completed in neat, printed letters and returned to the distribution office by no later than 0100 hours on the thirteenth of August, 2007.]
FULL NAME; (FAMILY) ___________ (GIVEN) ___________
BIRTHDATE; (Y/M/D) ____ / ____ / ____
CONTACT INFORMATION;
(PHONE) __-__-________
(EMAIL) _________________________@_____________________________._____
(ADDRESS) __________________________________________________________
____________________________________________________________________
____________________________________________________________________
PLEASE CIRCLE TRUE OR FALSE.
1. I live independently. [TRUE] [FALSE]
IF TRUE -- I survive solely on my own income. [TRUE] [FALSE]
IF FALSE -- I live with a roommate. [TRUE] [FALSE]
2. I have a stable home situation. [TRUE] [FALSE]
3. A physician has recently verified that I am mentally competent. [TRUE] [FALSE]
4. I recently graduated Oshima Highschool. [TRUE] [FALSE]
IF TRUE -- I am currently attending/planning to attend Oshima College. [TRUE] [FALSE]
IF FALSE -- I am currently attending Oshima Highschool. [TRUE] [FALSE]
5. I currently have a clean bill of health. [TRUE] [FALSE]
6. I consider myself a hard worker. [TRUE] [FALSE]
7. I am able to work cooperatively with others. [TRUE] [FALSE]
8. I believe that I am able to practice good time management skills. [TRUE] [FALSE]
9. I have high standards that I work up to. [TRUE] [FALSE]
10. I believe myself to have a creative/inventive mind. [TRUE] [FALSE]
PLEASE COMPLETE THE FOLLOWING.
I would like to work in the following field:
TECHNOLOGY/ELECTRONICS
MODELING/FASHION
PERFORMING ARTS
MUSIC (please circle the instrument you play)
piano/keyboard flute lyricist
electric guitar oboe vocalist
accoustic guitar clarinet other
harp/harpsicord trumpet
koto saxophone
shamisen suzaphone
This is because:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
SIGNED; _____________________________________________________
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