First Name*

Last Name*

Email Address*

Phone*

Address*

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If you did not provide a resume, please list your work and/or volunteer experience including start and end dates.

Do you have a reliable means of transportation to work?* YesNo

Are you 16 years of age or older?* YesNo

Why do you want to be a Team Member at Chick-fil-A?*

How would you best describe yourself?*

Have you worked for Chick-fil-A or Chick-fil-A Corporate before?*

If so, which Chick-fil-A have you worked at?

Minimum weekly number of hours needed to work:*

What is the highest level of education you have completed?*

Are you able to stand on your feet 8 hours or more a day?* YesNo

All evening Team Members are required to be available until 10PM. Also, they must be able to clean-up until 10:30PM-11:30 PM one night Monday-Thursday and clean-up Friday AND Saturday.

Do you agree to these requirements?*
(If you are a minor, please discuss these requirements with your parent or guardian.)* YesNo

Please list your availability for each day Monday through Saturday (Store hours: Mon- Sat, 6:30 AM- 10 PM Closed on Sunday)*

References are REQUIRED TO BE CONSIDERED*
You MUST PROVIDE FOUR references; Name, phone number and relationship (for example, current or past employers or supervisors; teachers or mentors, please do NOT list family members or friends)*

If hired, how long do you see yourself working at Chick-fil-A?*

How did you hear about this job?*

If hired, can you provide your legal right to work in the U.S.?* YesNo

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.*

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Dining Room Attendant

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