Chick-fil-A Northgate

Application Form     (* indicates required field)

First Name*

Last Name*

Email*

Phone*

Contact Preference Email SMS Standard messaging rates may apply.

Please answer the following questions to help us better evaluate your application.

PERSONAL INFORMATION

1. Are you 16 years old or older? *
   Yes No
2. Are you legally eligible to work in the country where you wish to work? *
   Yes No
3. Have you ever committed a felony? *
   Yes No

WORK SCHEDULE / PREFERENCES

4. If offered a position, what is the earliest date you can start? *
5. What are your minimum expected earnings?
   (per hour) *
6. What is your work preference? *
   -- Select One --Part-time Temporary (Summer, Seasonal, ect.) Full-time Temporary (Summer, Seasonal, ect.) Part-time Year-round Full-time Year-round
7. What is the minimum amount of hours per week that you are willing to work? *
8. What is the maximum amount of hours per week that you are willing to work? *
9. If hired, how long do you see yourself working at Chick-fil-A Northgate? *
   -- Select One --1-3 months 4-5 months 6-12 months More than 12 months

What is your availability for each day? Opening starts at 5:00AM, and closing ends at 11:00PM

10. Monday *
11. Tuesday *
12. Wednesday *
13. Thursday *
14. Friday *
15. Saturday *
16. Please provide any additional information concerning your availability (optional).

EMPLOYMENT HISTORY

17. Please enter your employment history

EDUCATION

18. Select the HIGHEST Grade you Completed in High School/Secondary School *
    8th Grade or Less 9th Grade 10th Grade 11th Grade 12th Grade
19. High School/Secondary School Name, City, and State *
20. Did you graduate? *
    Yes No
21. Select the HIGHEST Level of Education Completed in College/University *
    No College/Univ. Some College/Univ. Associate's Degree/Cert Bachelor's Degree Masters Degree or Higher
22. College/University Name, City, State *

REFERENCES

23. Do you know someone that is currently working or has previously worked at Chick-fil-A Northgate? If so, please list the employee(s) below.
24. Enter up to three references.

EMAIL

25. Chick-fil-A Northgate contacts applicants via email if interested in an interview. Please verify your email address below. *

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You will receive confirmation after we have received your application.