Shii-Farm Application FormShii-Farm Application Form

Thank you for your interest in Shii-Farm.
Please send after filling in the fields below.

*Form of Employment
(You can select multiple items.)
*Name
*Date of Birth
Year
Month
Day
*Gender
*Postal Code    

•Your address will be filled in automatically.

*Address
*Telephone Number
(Cellphones are acceptable)
  

•Please enter only half-width alphanumeric characters.

*E-mail
address

•Please enter only half-width alphanumeric characters.
•Depending on your Spam settings, there’s a chance our e-mail may not be delivered.
We recommend using an e-mail address such as “gmail” rather than your phone carrier’s e-mail address.
If using a phone carrier’s e-mail address, we ask that you allow the following domain.

Domain: @shii.co.jp

About Yourself

Please tell us a little about yourself. (optional)

*Is a required field.