Chick-fil-A - Chick-fil-A East York - Restaurant Team Member- East York

First name

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Last name

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Please enter a valid email address.

Phone number (Mobile preferred)

Please enter a valid phone number.

Present Address:

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Are you younger than 18 years old?

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What is your preferred language?

English

Spanish

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Are you legally eligible to work in the US?

Yes No

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Do you have a reliable means of transportation to work?

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Have you previously worked for Chick-fil-A?

Yes

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Upload resume (Optional)

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Are you looking for a:

Full-time Position

Part-time Position

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If YES, which unit?

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Limitation of Availability:

Total Hours Available Per Week

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Are you able to lift between 25-40 pounds on a regular basis?

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What is the HIGHEST grade you completed in High School/Secondary school?

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High School/Secondary School Name

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Did you graduate?

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What is the HIGHEST level of education completed in College/University?

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College/University name?

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Describe course of study:

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

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Employment History Please list your 3 most recent employers

JOB 1 Name of Employer:

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Employer's Email Address:

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Primary Phone:

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Dates Employed From:

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Supervisor:

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Wage Rate:

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Reason for Leaving:

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JOB 2 Name of Employer:

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Email Address:

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Primary Phone:

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Dates Employed From:

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Supervisor

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Wage Rate:

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Reason for Leaving:

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JOB 3 Name of Employer:

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Email Address:

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Primary Phone:

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Dates Employed From:

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Supervisor:

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Wage Rate:

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Reason for Leaving:

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REFERENCES

Reference Name:

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Reference Contact Information:

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How long have you known this person?

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Relationship:

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Reference Name:

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Reference Contact Information:

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How long have you known this person?

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Relationship:

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Reference Name:

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Reference Contact Information:

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How long have you known this person?

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Relationship:

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I understand that I am applying for employment at the East York, PA Chick-fil-A restaurant location only, and that 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 without or without notice, at the option of either the Franchisee or me.

I authorize all persons or companies contacted by or on behalf of the Franchisee about me or my request of a Disclose All Performance Evaluations, Reports and other documents and related with my personal background information, work history and qualifications, prior notice sin darme one such disclosure. I also authorize the persons named herein as references and other of whom the franchisee may inquire about my background to provide the Franchisee with any pertinent information they may have regarding me. 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 agree to the terms of this application.

Signature

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