To apply for a job at Chick-fil-A Thruway, please complete the following form, which will be sent to us via email. (Use your TAB key to move between the text blanks.) All applications either online or hard copy in our store are retained for a total of 3 months.

APPLICATION FOR EMPLOYMENT
PLEASE TELL US ABOUT YOURSELF

Your full name:   Today's date: 
Email address: 
Current Address:   City:   State:   Zip: 
Home phone:   Work phone: 

In case of an emergency, we should notify: 
Address:   City:   State:   Zip: 
Home phone:   Work 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?   Social Security #: 
Are you eligible to work in the U.S.?  Yes  No   (Proof required upon employment)
Have you ever been convicted of a felony? Yes  No

Are you applying for a special position? Any other comments?


AVAILABILITY

MON TUE WED THU FRI SAT
FROM
TO

Summer:   School year:   All year: 
Minumum # of hours needed to work: 
Maximum # 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 baysitting, lawn care, etc.). Be sure to provide (as many as you can of) the following details for each:
  • Employed from/to
  • Name & Address of employer
  • Phone #
  • Supervisor
  • Earnings
  • Reason for leaving



EDUCATION

High School (last attended):   Location: 
Did you graduate? Yes  No

College/Vocational School:   Location: 
Did you graduate? Yes  No    If yes, Degree:   Major:   GPA: 
College/Vocational School:   Location: 
Did you graduate? Yes  No    If yes, Degree:   Major:   GPA: 


PERSONAL BACKGROUND

What are your interests and activites?


Please list awards and/or leadership positions held (work or school):



MILITARY SERVICE

Have you ever served in the military? Yes  No
Branch:   Rank: 
Start Date:   End Date: 

Please describe your duties:



PERSONAL REFERENCES

Please provide four references to whom you have been accountable. Please include no more than two family members. Be sure to provide the following details for each:
  • Name
  • Address
  • Phone
  • Relation
  • Years known



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 liablitity 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: 

All graphics & text, Copyright 2006, ®Chick-fil-A Thruway & Chick-fil-A, Inc.