Professional Documents
Culture Documents
Present Address Home Telephone Email Address Do you have a reliable means of transportation to work? If you are younger than 18 years old, how old are you? Are you eligible to work in the U.S.? Yes
Yes
No
AVAILABILITY
MON FROM TO TUE WED THU FRI SAT Summer School Year All Year Minimum number of hours needed to work Maximum number of hours able to work
Name & Address of Employer Employed From To Phone # Supervisor Earnings Reason for Leaving
Name & Address of Employer Employed From To Phone # Supervisor Earnings Reason for Leaving
Relevant skills
EDUCATION
High School (Last attended) College & Vocational Schools Location Location Did You Graduate? Yes Did You Graduate? Yes No
PERSONAL BACKGROUND
Please list awards and/or leadership positions held (work or school)
MILITARY SERVICE
Yes No Branch Rank Start Date End Date
REFERENCES
Name PLEASE PROVIDE FOUR REFERENCES (FOR EXAMPLE, CURRENT OR PAST EMPLOYERS OR SUPERVISORS; TEACHERS; OTHERS FAMILIAR WITH YOUR QUALIFICATIONS). Address Phone Relationship Years Known
Date
Applicant Signature
This Chick-fil-A Operator 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, or any other basis protected by federal, state or local law.
2010 CFA Properties, Inc. Chick-fil-A and Chick-fil-A Stylized are registered trademarks of CFA Properties, Inc.