CHICKEN EXPRESS
Chickasha
Duncan
Edmond, OK
Moore
Mustang
Edmond, OK Mustang, OK
     
Chicken Express Employment Application
PERSONAL INFORMATION
APPLICATION FOR EMPLOYMENT
Last Name
(We are an equal opportunity employer)
First Name
Middle Name
Phone -Home
Phone - Cell
E-mail Address
Home Address
City
State
Zip
Date of Birth
Age
(No one under 16 may be hired)
Are you employeed now?
Yes No
If yes by whom?
Business Phone contact?
May we contact you at work?
Yes No
IN CASE OF EMERGENCY
IN CASE OF EMERGENCY NOTIFY:
Name
Relationship
Phone
EMPLOYMENT DESIRED
EMPLOYMENT DESIRED
Store Location Applying For?
Chickasha, OK Duncan, OK Edmond, OK
Moore, OK Mustang, OK Woodward, OK  
   
 
Position Applying For:
Pay Expected:
Type of Position Desired:
Part Time Full Time
Seasonal Temporary
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
Days and hours available:
DAYS & HOURS AVAILABLE
Monday
From-To
Tuesday
From-To
Wednesday
From-To
Thursday
From-To
Friday
From-To
Saturday
From-To
Sunday
From-To
EDUCATION HISTORY
EDUCATION HISTORY
High School
High School
Course Study
Number of Years Attended
Did You Graduate?
Yes No
Type of Degree
College
College
College
Course Study
Number of Years Attended
Did You Graduate?
Yes No
Type of Degree
Bussiness/Trade/Technical
Bussiness/Trade/Technical
Bussiness/Trade/Technical
Course Study
Number of Years Attended
Did You Graduate?
Yes No
Type of Degree
Other special training or skills (language, machine operation, etc.
Legal
Legal
Are you legally able to be employeed in this country?
Yes No
(If hired, verification will be required by law)
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
The existence of a criminal record will not automatically diqualify you from this job for which you are applying.
If yes, please explain offense and final disposition
U.S. MILITARY SERVICE
U.S. MILITARY SERVICE
Branch of Service
Rank Attained
Technical Specialization
Type of Discharge
Previous Employeed By Chicken Express
Have you ever applied or been employeed by this Chicken Express or any other location(s)?
Yes No
Location
Date of Employeed
Position Held
Supervisor Name
Reason for Leaving
EMPLOYMENT HISTORY
EMPLOYMENT HISTORY
(please begin with present or most recent employer
Company Name
Supervisor
Address
Phone Number
Hourly Pay / Salary (Start)
Hourly Pay / Salary (Last)
Employeed - Month & Year (Start)
Employeed - Month & Year (End)
Job Title & Description
Reason for Leaving
EMPLOYMENT HISTORY
Company Name
Supervisor
Address
Phone Number
Hourly Pay / Salary (Start)
Hourly Pay / Salary (Last)
Employeed - Month & Year (Start)
Employeed - Month & Year (End)
Job Title & Description
Reason for Leaving
EMPLOYMENT HISTORY
Company Name
Supervisor
Address
Phone Number
Hourly Pay / Salary (Start)
Hourly Pay / Salary (Last)
Employeed - Month & Year (Start)
Employeed - Month & Year (End)
Job Title & Description
Reason for Leaving
EMPLOYMENT HISTORY
Company Name
Supervisor
Address
Phone Number
Hourly Pay / Salary (Start)
Hourly Pay / Salary (Last)
Employeed - Month & Year (Start)
Employeed - Month & Year (End)
Job Title & Description
Reason for Leaving
EMPLOYMENT HISTORY
To all applicants: Chicken Express tries to maintain a Drug-Free workforce, 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.
Applicant Innitial
Chicken Express
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.
Applicant Innitial
Chicken Express
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.
Applicant Innitial
Chicken Express
"I certify that the facts in this application are true and complete to the best of my knowledge and understand that, if 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."
Applicant Innitial
Chicken Express
I further agree that I do not have an emplyment contract and that my employment can be terminated or modified with or without notice or cause at any time by the company or me.
Applicant Innitial
     

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