Mad Chicken Hiring JOB APPLICATION

Mad Chicken Job Application

Ready to join an amazing crew of workers in a fast paced, friendly environment? Mad Chicken could be that place for you! We are an Equal Opportunity Employer and committed to excellence through diversity. This application must be fully completed to be considered. Please complete each section.
Full Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Phone Number*
Email Address*
example@example.com
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which Mad Chicken location are you applying for?*
Are you legally eligible to work in the US?*

YesNo
Are you a veteran?*

YesNo
If selected for employment are you willing to submit to a background check?*

YesNo
Employment Desired*
Available Start Date*

MonthDayYear
Date

Please list your education status below.
Education Status*

I have NOT graduated High SchoolHigh School GraduateCurrently in collegeI have graduated college
List School Name (1)
List School Name (2)

Please list 2 references at minimum.

Business and professional references only. Please include their phone number or email along with their company or relation to you.
1) Name & Relation
1) Phone & Email
2) Name & Relation
2) Phone & Email

How did you hear about us
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminated.*

YES
Should be Empty:

Mad Chicken Job Application