English Application — Chick-fil-A

Email Address

Please list each day of the week (Monday-Saturday) and the times during which you are available.

Minimum number of hours needed to work:

Maximum number of hours able to work:

Please list your three most recent jobs, including babysitting, lawn care or volunteer work.

Include: NAME of employer, DATES of Employment, PHONE of employer, SUPERVISOR, your RATE, and REASON FOR LEAVING:

Relevant Skills:

High School Education (Last attended, Location):

College & Vocational Schools (Location, Degree/Major, GPA):

Personal Background:

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

If yes, list your branch, rank, start date, end date, and relevant skills:

References:

Please provide TWO references (For example, current or past employers or supervisors; teachers; others familiar with your job qualifications):

Please Read the following statements carefully and sign your name:

I understand that I am applying for employment at this particular Chick-fil-A Restaurant location only and this location is operated by independent 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 names 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.