Jobs - Charlie's Chicken

To print the Employee Application via PDF please click here.

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Applicant Information

Last Name *

First Name *

Middle Initial *

Date *

Address *

Phone *

Date Available *

Social Security No. *

Position Applied for

Have you ever been convicted of a felony? *

Are you a citizen of the United States? *

If so, are you authorized to work in the U.S.?

Have you ever worked for this company? *

If yes, from what date and how long?

Name of Supervisor

Location

Reason for Leaving

I left the company in good standing and have never been terminated form this company involuntarily. Falsification of this information will result in immediate termination.

Hours Available *

If you are under the age of 18, and applying for a position that requires you to serve alcohol, please state your date of birth.

Reference 1: Full Name, Relationship, Phone *

Reference 2: Full Name, Relationship, Phone *

Referral Source *

Most Recent Job: Company, Address, Supervisor, Job Title, Phone, Employment Dates, Reasons for Leaving, Starting and Leaving Pay $ *

Second Most Recent Job: Company, Address, Supervisor, Job Title, Phone, Employment Dates, Reasons for Leaving, Starting and Leaving Pay $ *

Please attach your resume.

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Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I authorize the references and supervisors listed above to give you any information personal or otherwise, concerning my prior employment or education.

Contact Form

Disclaimer & Signature