
Application for Employment
(continued)
EDUCATION
High School (Last attended) Location Did You Graduate?
Yes
No
___________________________________________ __________________________________________________________________________________________
College & Vocational Schools Location Did You Graduate?
Yes
No If yes, Degree & Major Grade Pt. Avg.
__________________________________ ____________________________________________________ ____________________________ _______________
__________________________________ ____________________________________________________ ____________________________ _______________
PERSONAL BACKGROUND
Please list job-related awards and/or leadership positions held (work or school)
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
MILITARY SERVICE
Yes
No Branch ______________________ Rank_____________________________________ Start Date ______________ End Date ______________
Relevant skills
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
REFERENCES
Please provide four references (for example, current or past employers or supervisors; teachers; others familiar with your job qualifications).
Name Address Phone Relationship Years Known
__________________________________ __________________________________________ ____________________ ___________________ ___________
__________________________________ __________________________________________ ____________________ ___________________ ___________
__________________________________ __________________________________________ ____________________ ___________________ ___________
__________________________________ __________________________________________ ____________________ ___________________ ___________
PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND SIGN
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 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.
______________________________ ____________________________________________________________________________________
Date Applicant Signature
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.
Team Member Standard © 2006-2015 CFA Properties, Inc. Chick-fil-A
®
and Chick-fil-A Stylized
®
are registered trademarks of CFA Properties, Inc. [Rev. 3-15]