Simple Job Application Form

Application for Employment

Why are you interested in working at Chick-fil-A Muskogee?

Full Name

First NameMiddle NameLast Name

Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Email Address

Phone Number

Area CodePhone Number

What wage are you expecting?

If you are younger than 18, how old are you?

Do you have a reliable means of transportation?

YesNo

Are you legally authorized to work in the U.S.?

YesNo

Have you ever been convicted of a felony?

YesNo

If so, please indicate the crime, date of conviction, nature of circumstances, state in which offense occurred, and sentence (if any):

Note: Please do not answer yes or provide any information about convictions that have been erased, expunged, sealed, pardoned, set aside, vacated, annulled or otherwise eradicated by a court. A "yes" will not necessarily disqualify an applicant from employment. Failure to answer this question accurately could cause denial of employment or termination of employment.

What days/times are you available to work?

Are you seeking employment for the season or the whole year?

SeasonalAll Year

Limitations to Availability

Minimum weekly number of hours needed to work

Maximum weekly number of hours able to work

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

YesNo

If yes, which unit?

Please list your three most recent jobs (including babysitting, lawn care or volunteer work):

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Name and Address of Employer

Phone Number

Area CodePhone Number

Supervisor

Dates of Employment

	From	To

Wage Rate

	$

Reason for Leaving

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Name and Address of Employer

Phone Number

Area CodePhone Number

Supervisor

Dates of Employment

	From	To

Wage Rate

	$

Reason for Leaving

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Name and Address of Employer

Phone Number

Area CodePhone Number

Supervisor

Dates of Employment

	From	To

Wage Rate

	$

Reason for Leaving

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Relevant Skills

High School (Last Attended)

Location

Did You Graduate

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College & Vocational Schools

Degree & Major

Location

Grade Point Average

Did You Graduate

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College & Vocational Schools

Degree & Major

Location

Grade Point Average

Did You Graduate

Please list job related rewards and/or leadership positions held (work or school)

YesNo

Branch & Rank

	Start Date	End Date

Relevant Skills

Name

Phone Number

Relationship

Years Known

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Name

Phone Number

Relationship

Years Known

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Name

Phone Number

Relationship

Years Known

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Name

Phone Number

Relationship

Years Known

How did you find out about this opportunity?

If referred, who referred you?

First NameLast 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 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 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.

I understand

Enter the message as it's shown*

The 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.

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Please Tell Us About Yourself

Availability

Previous Employment History

Education

Personal Background

Military Service

References

Referral

Please Read The Following Carefully And Submit