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Chick Fil A Job Application Form

Individuals seeking employment at a Chick Fil A restaurant must fulfill this form and submit it to the manager of the desired site.Download

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High School (Last attended)SummerSAT	FRI	THU	WED	TUE	MON	
FROM	
TOSchool YearAll YearCollege & Vocational SchoolsLocationDid You Graduate?          Yes          NoDid You Graduate?          Yes          No  If yes, Degree & Major   Grade Pt. AverageLocationMaximum number of hours able to workMinimum number of hours needed to work	
APPLICATION FOR EMPLOYMENTEDUCATIONAVAILABILITYName (print)Present AddressWhat 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          NoDo you have a reliable means of transportation to work?          Yes          NoHave you ever been convicted of a felony?          Yes          No(PROOF OF ELIGIBILITY IS REQUIRED UPON EMPLOYMENT)LastCityStateZipMiddle I.FirstDatePLEASE TELL US ABOUT YOURSELFEmail Address	
®FRANCHISED LOCATIONRelevant skillsPLEASE LIST YOUR THREE MOST RECENT JOBS (including babysitting, lawn care or volunteer work):PREVIOUS EMPLOYMENT HISTORYEmployed From    ToName & Address of EmployerPhone #SupervisorEarningsReason for LeavingEmployed From    ToName & Address of EmployerPhone #SupervisorEarningsReason for LeavingEmployed From    ToName & Address of EmployerPhone #SupervisorEarningsReason for LeavingHome TelephoneCell/Other Telephone (if applicable)Have you ever worked for Chick-fil-A, Inc. or a Chick-fil-A Franchisee?          Yes          NoIf YES, which Unit?

BranchRankPlease describe your dutiesStart DateEnd DateYes          NoMILITARY SERVICEAddressPhoneRelationshipYears KnownNameREFERENCESPLEASE 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®  ® 
© 2006-2008 CFA Properties, Inc.  Chick-fil-Aand Chick-fil-A Stylizedare registered trademarks of CFA Properties, Inc.  [Rev. 9-08]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 SignatureThis 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
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