APPLICATION / AGREEMENT FOR LEIS OF HAWAII

Date of Application:                     Date You Can Start:  

AGE:     DATE OF BIRTH: (MM/DD/YYYY)

BIRTH PLACE:  (CITY, STATE)

SOCIAL SECURITY NUMBER: (000-00-0000)

HEIGHT: FT. IN     WEIGHT: LBS. 

EYE COLOR:      HAIR COLOR:

SHIRT SIZE:       PANT SIZE:       SHOE SIZE: 

T-SHIRT SIZE:       DRESS SIZE:

DRIVERS LICENSE  YES:      NO:

ABSTRACT  YES:      NO:

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Are you under any contract - employment at this time:   YES:    NO:

If yes, please put down the name of the agency(s):

Contract Starting Date: (MM/DD/YYYY)   Contract Finish Date: (MM/DD/YYYY)

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Have you been convicted of any crimes:   YES:    NO:

If so, list offense(s) and date:

Convicted Starting Date: (MM/DD/YYYY)   Convicted Finish Date: (MM/DD/YYYY)

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Your Personal Info

Tell us about yourself:

Please tell us why you think you would be a good candidate for a Lei Greeter:

Company / Business Info

Name of your Company / Business:

Which State is your Company / Business Registered in:

Your Company / Business web site address:

Year your Company / Business opened: