Online Job Application

1

Tell Us About Yourself

First Name *

Middle Initial

Last Name *

Name Used *

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)

Have you ever been convicted of a felony? *

Yes No

If so, please indicate the crime, date of conviction, nature of circumstances, state in which offense occurred, and disposition:

Note: Please do not answer yes or provide any information about convictions that have been erased, expunged, sealed, pardoned, set aside, vacated, annulled or otherwise eradicated by a court.” A “yes” response will not necessarily disqualify an applicant from employment. Failure to answer this question accurately could cause denial of employment or termination of employment.

2

Availability

Please list days and times available to work below *

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 *

3

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 of Employer

Email Address of Employer

Employed From

To

Phone #

Supervisor

Wage rate

Reason for Leaving

Name of Employer

Email Address of Employer

Employed From

To

Phone #

Supervisor

Wage rate

Reason for Leaving

Name Employer

Email Address of Employer

Employed From

To

Phone #

Supervisor

Wage rate

Reason for Leaving

Relevant skills

4

Education

High School (Last attended)

Location

Did You Graduate?

Yes No

College & Vocational Schools

Name

Location

Did You Graduate?

Yes No

If yes, Degree & Major

Grade Pt. Avg

Name

Location

Did You Graduate?

Yes No

If yes, Degree & Major

Grade Pt. Avg

5

Personal Background

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

6

Military Service

Have you served in the military?

Yes No

Branch

Rank

Start Date

End Date

Relevant skills

7

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

Name

Address

Phone

Relationship

Years Known

Name

Address

Phone

Relationship

Years Known

Name

Address

Phone

Relationship

Years Known

Name

Address

Phone

Relationship

Years Known

8

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

I accept with following items

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.

Application for Employment Team Member Standard (v.2)

Thank you for submitting you application!