Hearing sheet

Name *

Birth date

Age

Residence

Sex

• Male
• Female
• Custom

Ways to contact

• TEL
• E-mail
• LINE
• Instagram
• Messenger

TEL

Mobile phone

E-mail *

LINE

Instagram

Country

License (car)

• Yes
• No

License (motorcycle)

• Yes
• No

License (etc)

Desired period

Preferred workplace

• Yoshida
• Fujieda
• Shimada
• Yaidu
• Aoi-ku, Shizuoka-shi
• Suruga-ku, Shizuoka-shi
• Shimizu-ku, Shizuoka-shi
• Sagara
• Iwata
• Makinohara
• Etc

Hourly pay

Working hours（00:00～00:00）

Means of commuting

• Car
• Motorcycle
• Public transportation
• Bicycle
• Pick-up and drop-off

Clean clothes

• Yes
• No

Line work

• Yes
• No

Heavy work

• Yes
• No

Standing work

• Yes
• No

eyesight

• 1.0 or above
• Less than 1.0

Glasses etc

• Contact lens
• Glasses
• none

Allergy

Work clothes size

Top

Bottom

Safety shoe size

cm

Stature

cm

Body weight

kg

Dominant hand

• Right
• Left

Child

• Have children
• No children

Read / write

• 漢字
• ひらがな
• カタカナ

Conversation level

%

Japanese history

years

Work experience / history