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Preview - Chick Fil A Job Application Form

Franchised Location

Application for Employment – TEAM MEMBER STANDARD (v. 2)

PLEASE TELL US ABOUT YOURSELF

Name (print):First ___________________ Middle I. _________ Last ___________________ Name Used: ___________________ Date _____________

Present Address ____________________________________________________________ City _______________________________ State _____ Zip ___________

Primary Telephone ___________________________________________ Cell/Other Telephone (if applicable) _______________________________________

Email Address __________________________________________________________________________________________________________________________

Do you have a reliable means of transportation to work? Yes

No

What wage rate are you expecting? ______________________________

Are you younger than 18 years old? Yes

No If Yes, do you have a work permit?

Yes

No

If hired, can you provide verification of your legal right to work in the U.S.?

Yes

No

(PROOF OF ELIGIBILITY IS REQUIRED UPON EMPLOYMENT)

AVAILABILITY

Please list days and times available to work below.

FROM

TO

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Seasonal

All Year

Limitations to Availability _____________________________________________________________________________

Minimum weekly number of hours needed to work ___________________

Maximum weekly number of hours able to work ______________________

 

 

 

PREVIOUS EMPLOYMENT HISTORY

 

 

Have you ever worked for a Chick-fil-A, Inc. or a Chick-fil-A Franchisee? Yes

No If YES, which Unit? _____________________________________

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

Name & Address of Employer _____________________________________________________________________________________________________________

Employed From

To

Phone #

Supervisor

Wage rate

Reason for Leaving

_____________

_______________

_______________________

___________________________

_____________

___________________________

Name & Address of Employer _____________________________________________________________________________________________________________

Employed From

To

Phone #

Supervisor

Wage rate

Reason for Leaving

_____________

_______________

_______________________

___________________________

_____________

___________________________

Name & Address of Employer _____________________________________________________________________________________________________________

Employed From

To

Phone #

Supervisor

Wage rate

Reason for Leaving

_____________

_______________

_______________________

___________________________

_____________

___________________________

Relevant skills

_______________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

Application for Employment (continued)

EDUCATION

High School (Last attended)

 

Location

Did You Graduate? Yes No

 

___________________________________________

__________________________________________________________________________________________

College & Vocational Schools

Location

Did You Graduate? Yes

No

If yes, Degree & Major

Grade Pt. Avg.

__________________________________

____________________________________________________

____________________________

_______________

__________________________________

____________________________________________________

____________________________

_______________

PERSONAL BACKGROUND

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

_______________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

MILITARY SERVICE

Yes No Branch ______________________ Rank_____________________________________ Start Date ______________ End Date ______________

Relevant skills

_______________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

REFERENCES

Please provide four references (for example, current or past employers or supervisors; teachers; others familiar with your job qualifications).

Name

Address

Phone

Relationship

Years Known

__________________________________

__________________________________________

____________________

___________________

___________

__________________________________

__________________________________________

____________________

___________________

___________

__________________________________

__________________________________________

____________________

___________________

___________

__________________________________

__________________________________________

____________________

___________________

___________

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 this location is operated by an independent franchisee (the “Franchisee”). I further understand that completion of this application does not indicate that there are any positions currently open and does not obligate the Franchisee 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 the Franchisee or me.

I authorize all persons or businesses contacted by or on behalf of the Franchisee 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 franchisee may inquire about my background to provide the Franchisee with any pertinent information they may have regarding me. By signing below, I fully release the Franchisee, 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 Franchisee 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, and/or any other protected status, classification or factor, in accordance with the requirements of all federal, state and local laws. Applicants requiring reasonable accommodations to the application and/or interview process should notify the Franchisee.

Team Member Standard © 2006-2015 CFA Properties, Inc. Chick-fil-A® and Chick-fil-A Stylized® are registered trademarks of CFA Properties, Inc. [Rev. 3-15]

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