Employment Application

Choose the desired location *

Section 1: Tell Us About Yourself

Name *

First

Middle

Last

Preferred Name *

Current Address *

Address Line 1

Address Line 2

City

State

Zip Code

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Phone *

Email *

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

Yes
No

Are you younger than 18 years old? *

Yes
No

What wage rate are you expecting? *

Section 2: Availability

Indicate the hours you are available for each day below. Friday and Saturday availability is required.

Example: 6:00am - 2:00pm

These hours are the hours you are available to work, not your desired work schedule. More availability makes you a more favorable candidate.

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Monday

Tuesday

Wednesday

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Thursday

Friday *

Saturday *

Do you have limitations to your availability?

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Minimum number of hours per week needed to work. *

Maximum number of hours per week needed to work. *

Section 3: Previous Employment History

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

Yes
No

If yes, at which location were you employed?

Please list your two (2) most recent jobs.

You may include babysitting, lawn care, volunteering, etc. If this will be your first job experience with an employer.

Employer 1 Name

Employer 1 Supervisor

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Employer 1 Phone

Employer 1 Email Address

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Employer 1 Start Date

Employer 1 End Date

Employer 1 Reason for Leaving

Employer 2 Name

Employer 2 Supervisor

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Employer 2 Phone

Employer 2 Email Address

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Employer 2 Start Date

Employer 2 End Date

Employer 2 Reason for Leaving

Section 4: Education

High School

High School (last attended) *

Location *

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Did you graduate? *

Yes
No

If NO, are you currently attending high school?

Yes
No

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College or Vocational School

Location

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Did you graduate?

Yes
No

If YES, what was your degree & major?

Grade Point Average

Section 5: Personal Background

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

Award and/or Leadership Position 1

Award and/or Leadership Position 2

Award and/or Leadership Position 3

Section 6: Military Service

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Have you served in the military?

Yes
No

If YES, in which branch did you serve?

Rank

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Start Date

End Date

Relevant Skills

Section 7: References

Please provide two references. Please refrain from providing family members and/or relatives as references.

Reference 1 Name *

First

Last

Reference 1 Address

Address Line 1

Address Line 2

City

State

Zip Code

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Reference 1 Phone *

Reference 1 Relationship *

Reference 1 Years Known *

Reference 2 Name *

First

Last

Reference 2 Address

Address Line 1

Address Line 2

City

State

Zip Code

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Reference 2 Phone *

Reference 2 Relationship *

Reference 2 Years Known *

Please read the following statements carefully and sign digitally.

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. *

By clicking this box, I agree with the above statement in its entirety.

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. *

By clicking this box, I agree with the above statement in its entirety.

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. *

By clicking this box, I agree with the above statement in its entirety.

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. *

By clicking this box, I agree with the above statement in its entirety.

Date Completed

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. *

By checking this box, I accept the above items.

Join Our Team

Section 1: Tell Us About Yourself

Section 2: Availability

Section 3: Previous Employment History

Section 4: Education

Section 5: Personal Background

Section 6: Military Service

Section 7: References

Please read the following statements carefully and sign digitally.