Application for Employment
Chicken Express
We are an equal opportunity employer
* Required
Personal Information
Name:
*
SSN:
*
Date of Birth:
*
Phone Number:
*
Email:
*
Address:
*
City:
*
State:
*
Select a state
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Texas
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West
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Position Applying For
*
Pay Expected
Position Desired:
*
Crew
Management
Maintenance
Will you work overtime if asked?
*
Yes
No
Date you can start
*
Are you willing to travel?
*
Yes
No
Are you willing to relocate?
*
Yes
No
Are you employed now?
*
Yes
No
If yes, by whom?
Business phone for contact
May we contact you at work?
*
Yes
No
.
Are you over the age of 18 years?
*
Yes
No
If you answered NO, please provide your date of birth. (mm/dd/yyyy)
Availability
Mon
From
ANY
Unavailable
12 AM
1 AM
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12 PM
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ANY
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Tue
From
ANY
Unavailable
12 AM
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9 AM
10 AM
11 AM
12 PM
1 PM
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11 PM
To
ANY
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11 AM
12 PM
1 PM
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11 PM
Wed
From
ANY
Unavailable
12 AM
1 AM
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5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
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5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
To
ANY
12 AM
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6 AM
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11 AM
12 PM
1 PM
2 PM
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6 PM
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9 PM
10 PM
11 PM
Thu
From
ANY
Unavailable
12 AM
1 AM
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3 AM
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5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
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5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
To
ANY
12 AM
1 AM
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5 AM
6 AM
7 AM
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9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
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5 PM
6 PM
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8 PM
9 PM
10 PM
11 PM
Fri
From
ANY
Unavailable
12 AM
1 AM
2 AM
3 AM
4 AM
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
To
ANY
12 AM
1 AM
2 AM
3 AM
4 AM
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
Sat
From
ANY
Unavailable
12 AM
1 AM
2 AM
3 AM
4 AM
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
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5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
To
ANY
12 AM
1 AM
2 AM
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5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
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8 PM
9 PM
10 PM
11 PM
Sun
From
ANY
Unavailable
12 AM
1 AM
2 AM
3 AM
4 AM
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
To
ANY
12 AM
1 AM
2 AM
3 AM
4 AM
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
In Case of Emergency Notify
Name
*
Relationship
*
Phone Number
*
Education
Name & Location of more recent school
*
Degree/diploma or highest level of education:
*
Other special training or skills (languages, machine operations, etc)
Legal
The existence of a criminal record will not automatically disqualify you from the job for which you are applying.
Are you legally able to be employed in this country?
*
Yes
No
Did any company ever discharge you?
*
Yes
No
If yes, give name of company(ies)
Reason for discharge
Have you ever been convicted of a crime other than a minor traffic violation?
*
Yes
No
If yes, please explain offense and final disposition
U.S. Military Service
Branch of Service
Rank Attained
Technical Specialization
Type of Discharge
Chicken Express History
Have you ever applied or been employed by this Chicken Express or any other location(s)
*
Yes
No
Location
Date of Employed
Position Held
Supervisor Name
Reason for Leaving
Employment
Please begin with present or most recent employer
1. Company Name
*
1. Supervisor
*
1. Address
1. Phone Number
*
1. Hourly Pay/Salary
*
1. Start Date
*
1. End Date
*
1. Job Title & Description
*
1. Reason for Leaving
*
Notes
2. Company Name
2. Supervisor
2. Address
2. Phone Number
2. Hourly Pay/Salary
2. Start Date
2. EndDate
2. Job Title & Description
2. Reason for Leaving
Notes
3. Company Name
3. Supervisor
3. Address
3. Phone Number
3. Hour Pay/ Salary
3. Start Date
3. End Date
3. Job Title & Description
3. Reason for Leaving
Notes
4. Company Name
4. Supervisor
4. Address
4. Phone Number
4. Hourly Pay/Salary
4. Start Date
4. End Date
4. Job Title & Description
4. Reason for Leaving
Notes
Please Initial
To all applicants: Chicken Express tries to maintain a Drug-Free workplace, thus there are policies in force to help achieve this. All applicants are required to take a drug test. There will be random testing during employment and failing a test will result in immediate dismissal.
This is to inform all applicants that if you are hired, we will give a 14 day working trial (which means 14 days worked per employee time card) to decide if the job is agreeable to either employee or employer, being either may terminate employment without further incident.
I understand that receipt of this application by Chicken Express does not imply employment and that this application and/or any other Chicken Express documents are not contracts of employment. I also understand that if hired, I will be required to abide by all rules and regulations of Chicken Express.
"I certify that the facts in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have. I release all parties from all liability for any damage that may result from furnishing this information to you."
I further agree that I do not have an employment contract and that my employment can be terminated or modified with or without notice or cause at any time by the company or me.
Agreement
Signature
*
Date
*
Apply