Chick-fil-A Northgate

Application Form     (* indicates required field)

First Name*

Last Name*

Email*

Phone*

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 / AVAILABILITY

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 --Full-time Part-time
7. What is your current availability? Opening starts at 5:00AM and closing ends at 11:00PM. *
8. What is the minimum amount of hours per week that you are willing to work? *
9. What is the maximum amount of hours per week that you are willing to work? *

EDUCATION

10. Select the HIGHEST Grade you Completed in High School/Secondary School *
    8th Grade or Less 9th Grade 10th Grade 11th Grade 12th Grade
11. High School/Secondary School Name, City, and State *
12. Did you graduate? *
    Yes No
13. 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
14. College/University Name, City, State *

EMPLOYMENT HISTORY

15. Please enter your employment history

REFERENCES

16. 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.
17. Enter up to three references.
18. 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.