Chick-fil-A - Chick-fil-A Hattiesburg - Team Member

First name

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Last name

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Please enter a valid email address.

Phone number (Mobile preferred)

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Preferred language for all communications

English

Español

Name Used:

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Today's Date:

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Upload resume (Optional)

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Present Address (Street Name, City, State, Zip Code)

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Do you have a reliable means of transportation to work?

Yes

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What wage rate are you expecting?

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Are you 16 years old or older?

Yes

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Are you legally eligible to work in the US? (Proof of eligibility is required upon employment)

Yes No

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Have you ever been convicted of a felony?

Yes

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If so, please indicate the crime, date of conviction, nature of circumstances, state in which offense occurred, and disposition:

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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" response will not necessarily disqualify an applicant from employment. Failure to answer this question accurately could cause denial of employment or termination of employment.

Are you looking for a:

Full-time Position

Part-time Position

Seasonal Position

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Any limitations to Availability

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Minimum weekly number of hours needed to work

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Maximum weekly number of hours able to work

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

Yes

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If YES, which Restaurant & Unit?

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PLEASE LIST YOUR THREE MOST RECENT JOBS (including babysitting, lawn care, or volunteer work). Include Name & Address of Employer, Start/End Date, Supervisor, Wage Rate, & Reason for Leaving. See example below)

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Chick-fil-A Hattiesburg

Address: 6099 US HWY 98, Hattiesburg, MS 39402

Phone: 601-579-9119

Dates: 09/1967 to current

Supervisor: Truett Cathy

Wage Rate: $16.00

Reason for Leaving: Current

Relevant skills

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List Last/Current High School (Provide location, date graduated or projected graduation date)

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List Any College & Vocation Schools (Provide location, date graduated/projected graduation date, degree & major, and grade pt. avg)

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

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Military Service

Yes

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If YES, provide Branch, Rank, Start Date & End Date

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Please provide four references. Provide your relationship to the reference along with a good contact number (for example, current or past employers or supervisors; teachers; others familiar with your job qualifications).

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Upload a short 15 sec clip of why you applied to our Chick-fil-A?

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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.

I agree

I disagree

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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.

Handbook

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