Please Tell Us About Yourself
Fields with an (*) are required
*First Name: *Last Name:
E-mail Address:
*Current Address: *City:
*State: *Zip Code:
*Home Phone: (ex. 7135554357) Cell Phone:
In case of an emergency, we should notify:
Address: City:
State: Zip Code:
Home Phone: Alt Phone:
Do you have a reliable means of transportation to work? Yes No
If you are younger than 18 years old, how old are you?
What wage are you expecting?
Are you eligible to work in the U.S.? Yes No
Have you ever been convicted of a felony? Yes No
(Proof of eligibility will be verified upon employment)
Are you applying for a special position?
Any other comments?
 
Availability
 
  Available From: To:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
  Unavailable From: To: Reason:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

  • Any school schedules will require a printed schedule of classes from the school.
  • Generally the lack of availability on Fridays and Saturdays will disqualify an applicant. These are very busy days and the business must be staffed to service guests.
What type of schedule are you looking for?
Minimum number of hours needed to work:
Maximum numbers of hours needed to work:
 
Previous Employment History
 
Have you ever worked for Chick-fil-A? Yes No
If yes, which Store?

Please list your 3 most recent jobs (including babysitting, lawn care, etc.). Be sure to provide (as many as you can think of) the following details for each. You may also copy and paste the previous employment info from your digital resume below the following fields:
Employer 1
Employed from:   to : 
Name:
Address:
Phone:
Supervisor:
Earnings:
Reason for Leaving:
Employer 2
Employed from:   to : 
Name:
Address:
Phone:
Supervisor:
Earnings:
Reason for Leaving:
Employer 3
Employed from:   to : 
Name:
Address:
Phone:
Supervisor:
Earnings:
Reason for Leaving:

You may also copy and paste the previous employment info from your digital resume document into the field below. Please provide as much of the following information on your previous 3 employers as possible.

  • Employed from/to
  • Phone Number
  • Supervisor
  • Earnings
  • Reason for leaving
 
Military Service
 
Have you ever served in the military? Yes No
Branch:
Rank:
Start Date:
End Date:
Please describe your duties:
 
Education
 
High School (last attended):
Location:
GPA:
Did you graduate? Yes No
College/Vocational School:
Location:
GPA:
Did you graduate? Yes No
College/Vocational School:
Location:
GPA:
Did you graduate? Yes No
 
Personal References
 

Please provide four references to whom you have been accountable. Please do not include family members. Appropriate references would be pastor, youth pastor, teacher, coach, band director, etc. Be sure to provide the following details for each:

Reference 1
Name:
Relation:
Years Known:
Phone:
Reference 2
Name:
Relation:
Years Known:
Phone:
Reference 3
Name:
Relation:
Years Known:
Phone:
Reference 4
Name:
Relation:
Years Known:
Phone:
 
Personal Background
 
What are your interests and activities?
Please list awards and/or leadership positions held (work or school):
 
PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY

I understand that completion of this application does not indicate that there are any positions currently open and does not obligate the Chick-fil-A Operator 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 are subject to confirmation by Chick-fil-A.

Chick-fil-A may make such investigations and inquiries of my personal, employment, financial, and academic history, and other related matters as may be necessary in determining whether I can perform the essential functions of the position which I seek. I hereby release past employers, schools, and all persons contacted from all liability in responding to inquiries in connection with my application.

If I am employed, I understand that false or misleading information given in my application or interview(s) may result in termination. I understand that I am required to abide by all employer rules and regulations.
Date:
Typing your name here is the
equivalent of your signature:*