Fillable Printable Chick Fil A Application Form

Chick Fil A Application Form

High School (Last attended)

Summer

SATFRITHUWEDTUEMON

FROM

School Year All Year

College & Vocational Schools

Location Did You Graduate? Yes No

Did You Graduate? Yes No If yes, Degree & Major Grade Pt. Average

Location

Maximum number of hours able to work

Minimum number of hours needed to work

A P P L I C A T I O N F O R E M P L O Y M E N T

EDUCATION

AVAILABILITY

Name (print)

Present Address

What wage are you expecting?

If you are younger than 18 years old, how old are you?

Are you eligible to work in the U.S.? Yes No

Do you have a reliable means of transportation to work? Yes No

Have you ever been convicted of a felony? Yes No

(PROOF OF ELIGIBILITY IS REQUIRED UPON EMPLOYMENT)

Last

City State Zip

Middle I. First Date

PLEASE TELL US ABOUT YOURSELF

Email Address

FRANCHISED LOCATION

Relevant skills

PLEASE LIST YOUR THREE MOST RECENT JOBS (including babysitting, lawn care or volunteer work):

PREVIOUS EMPLOYMENT HISTORY

Employed From To

Name & Address of Employer

Phone # Supervisor Earnings Reason for Leaving

Employed From To

Name & Address of Employer

Phone # Supervisor Earnings Reason for Leaving

Employed From To

Name & Address of Employer

Phone # Supervisor Earnings Reason for Leaving

Home Telephone Cell/Other Telephone (if applicable)

Have you ever worked for Chick-fil-A, Inc. or a Chick-fil-A Franchisee? Yes No If YES, which Unit?

Branch Rank

Please describe your duties

Start Date End DateYes No

MILITARY SERVICE

Address Phone Relationship Years KnownName

REFERENCES

PLEASE PROVIDE FOUR REFERENCES (FOR EXAMPLE, CURRENT OR PAST EMPLOYERS OR SUPERVISORS; TEACHERS;

OTHERS FAMILIAR WITH YOUR QUALIFICATIONS).

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND SIGN

I understand that I am applying for employment at this particular Chick-fil-A Restaurant location only and that I

am applying to work for this independent franchised Operator. I further understand that completion of this

application does not indicate that there are any positions currently open and does not obligate the Operator to whom I am

submitting this application to hire me.

I certify that all of the answers given in this application are true and complete to the best of my knowledge and

that I have personally completed this application. I understand that providing false or misleading information or

omitting pertinent information in my application or a job interview shall be grounds for rejection of this application or for

immediate discharge if I am employed.

I understand that if I am employed, my employment will be for no definite period of time. I understand that my

employment may be terminated at-will with or without cause, and with or without notice, at the option of either this

franchised Chick-fil-A Operator or me.

I authorize all persons or businesses contacted by or on behalf of the Chick-fil-A Operator about me or my

application to disclose any and all performance reviews, reports, and other documents and information related

to my background, work history and qualifications, without giving me prior notice of such disclosure. I also

authorize the persons named herein as references and others of whom the Chick-fil-A Operator may inquire about my

background to provide the Chick-fil-A Operator with any pertinent information they may have regarding me. By signing

below, I fully release the Chick-fil-A Operator, my former employers and all other persons, and businesses from any and all

claims, demands or liabilities arising out of or in any way related to such references or disclosures.

Date Applicant Signature

This Chick-fil-A Operator is an equal employment opportunity employer and considers all applicants without regard

to race, color, religion, national origin, ancestry, citizenship, sex, pregnancy, age, physical or mental disability,

genetic information, service in the uniformed services, or any other basis protected by federal, state or local law.

Please list awards and/or leadership positions held (work or school)

PERSONAL BACKGROUND