Apply for Leadership Team

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Leadership Team
ID:4
Contact Information
* First Name:
* Last Name:
* Phone:
* Email:
* Address 1:
Address 2:
* City:
* State:
* Zip:
PLEASE TELL US ABOUT YOURSELF
* Do you have reliable means of transportation?
Yes
No
* What wage 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.? (proof of eligibility is required upon employment)
Yes
No
AVAILABILITY
Enter the time that you are available to work, for each day (Ex: 7:00AM-2:30PM). Please note, the earliest shift typically begins each day at 5:30AM and the latest shift typically ends at 11:45PM.
* Monday
* Tuesday
* Wednesday
* Thursday
* Friday
* Saturday
* Which option best describes the employment you are seeking?
All Year
Long-Term Seasonal (i.e. school year only)
Short-Term Seasonal (i.e. summer or holiday only)
Limitations to Availability
* Minimum weekly number of hours needed to work
* Maximum weekly number of hours able to work
PREVIOUS EMPLOYMENT HISTORY
Please answer the question below, then list your three most recent jobs (including babysitting, lawn care, or volunteer work).
* Have you ever worked for Chick-fil-A, Inc. or a Chick-fil-A Franchisee?
Yes
No
If yes, which location?
PREVIOUS EMPLOYER 1 (IF APPLICABLE)
Name of Employer
Address
Date Employed From
Date Employed To
Phone Number
Supervisor
Wage Rate
Reason for Leaving
PREVIOUS EMPLOYER 2 (IF APPLICABLE)
Name of Employer
Address
Date Employed From
Date Employed To
Phone Number
Supervisor
Wage Rate
Reason for Leaving
PREVIOUS EMPLOYER 3 (IF APPLICABLE)
Name of Employer
Address
Date Employed From
Date Employed To
Phone Number
Supervisor
Wage Rate
Reason for Leaving
EDUCATION - HIGH SCHOOL
* School Name
* Location
* Did you graduate?
Yes
No
EDUCATION - COLLEGE & VOCATIONAL SCHOOL (IF APPLICABLE)
School Name
Location
Did you graduate?
Yes
No
Degree & Major
Grade Point Average
EDUCATION - COLLEGE & VOCATIONAL SCHOOL (IF APPLICABLE)
School Name
Location
Did you graduate?
Yes
No
Degree & Major
Grade Point Average
PERSONAL BACKGROUND
Please list job-related awards and/or leadership positions held (work or school).
Please list any relevant skills.
MILITARY SERVICE
* Have you served in the military?
Yes
No
Branch
Rank
Start Date
End Date
Relevant Skills
REFERENCES
Please provide three references (for example, current or past employers or supervisors; teachers; others familiar with your job qualifications).
* Name
* Phone
* Relationship
* Years Known
* Name
* Phone
* Relationship
* Years Known
Name
Phone
Relationship
Years Known
SUBMIT APPLICATION
PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SUBMITTING YOUR APPLICATION. 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 submitting this application with my electronic signature, 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
* Electronic Signature (Type Your Full Name)

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