Application - Pantry Fried Chicken

GENERAL

First Name

Middle Name

Last Name

Social Security

Address

City

State/Province

Zip/Postal

Country

Phone Number

Are you under the age of 18?

Birthday

Position Applying for

Date Available

Preferred Location

How did you hear about us?

Hours Available

Sun

AM

PM

Mon

AM

PM

Tue

AM

PM

Wed

AM

PM

Thu

AM

PM

Fri

AM

PM

Sat

AM

PM

Reason for applying for this particular employment

Relatives or friends employed at PFC

Name

Store

Relationship

ADD PERSON REMOVE

In case of an emergency list a contact person

Name

Store

Relationship

ADD PERSOM REMOVE

Education

High school

Name

Location

Major

Years Completed

9

10

11

12

GPA

College

Name

Location

Major

Years Completed

1

2

3

4

GPA

Other

Name

Location

Major

Years Completed

1

2

3

4

GPA

US Military

Name

Location

Major

Period of Duty

GPA

LEGAL

Have you ever been convicted of a felony

If yes specify

Have you ever, or are you presently on probation?

Have you ever stolen from an employer

Has any employer wrongly suspected you of theft or wrong doing? If yes Explain.

Have you ever been fired from an employer? If yes explain

In the event of employment

- You will be required to complete a 1-9 form to confirm your United States citizenship or alien status with right to work eligibility

- A 16/17 year old student that will work past 11:00 PM will submit proper permission from the school/parents.

EMPLOYMENT HISTORY (MOST RECENT FIRST)

Job

Employer

Phone Number

Supervisor

Title

Address

City

State/Province

Zip/Postal

Country

Your position

MTHS/YRS Employed

Salary/Wages

Reason for Leaving

ADD JOB REMOVE

Have you ever worked at PFC?

If yes give details

Location

Date

Position held

Reason for leaving

* If yes, final approval for re-hire is by supervisory and/or office personnel only.

PLEASE READ CAREFULLY

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Date Signed

Signature

Upload Resume (Word or PDF documents only)

Maximum upload size: 268.44MB

GENERAL

Sun

Mon

Tue

Wed

Thu

Fri

Sat

Relatives or friends employed at PFC

In case of an emergency list a contact person

Education

LEGAL

EMPLOYMENT HISTORY (MOST RECENT FIRST)

Job

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