Employment Application Which store are you applying to? Please select ¬--- Popeyes Locations ---515 Lee Street, Atlanta610 Cascade Avenue, Atlanta3506 Memorial Drive, Atlanta1211 Moreland Avenue, Atlanta839 Cleveland Avenue, Atlanta3349 Martin Luther King Jr Drive, Atlanta1517 Hwy 27 South, Carrollton5415 Old National Hwy., College Park6125 Old National Hwy., College Park1638 Highway 138 SE, Conyers2665 Wesley Chapel Road, Decatur2578 Candler Road, Decatur5220 Buford Hwy., Doraville9541 Hwy 5, Douglasville5753 Fairburn Road, Douglasville3519 Camp Creek Parkway, East Point242 Banks Crossing, Fayetteville1411 Hwy. 16, Griffin6553 Tara Boulevard, Jonesboro5660 Jonesboro Road, Lake City4865 Stone Mountain Hwy., Lilburn3001 Panola Road, Lithonia159 Cobb Parkway, Marietta908 Old Industrial Blvd., McDonough1435 Hwy 34, Newnan6717 Highway 85, Riverdale5557 N. Henry Boulevard, Stockbridge5100 Memorial Drive, Stone Mountain4815 Redan Road, Stone Mountain--- Krispy Kreme Locations ---633 Evans Street, Atlanta6167 Veterans Parkway, Columbus (Click each section header to expand) 1 Contact Information State: —Please choose an option—ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY 2 Employment Information Salary desired: $ per hourweekyear Are you 18 years of age or over? yesno If no, what is your age? Are you legally authorized to work in the United States? yesno Have you ever been employed by 755 Restaurant Corporation or any of its subsidiaries? OR, are you related to any current/previous employees of 755 Restaurant Corporation? yesno If yes, please specify location(s) and date(s) and/or who is the employee you are related to. How were you referred to the company? Are you willing to travel, if needed? yesno If yes, what percentage of time? % Although there are no set schedules/hours, the following conditions may be required as part of the job assignment. If required, would you be willing to work: yesno Shift work? yesno Rotational work schedule? yesno Overtime work? Days & Hours Available Work *You must complete availability/non-availablity for each day listed below Monday: Tuesday: Wednesday: Thursday: Friday: Saturday: Sunday: When would you be available to begin work? Type of employment desired. RegularPart-timeTemporarySummerCooperative Education 3 Education & Training Did you graduate from high school? yesno If no, completed through what grade? Did you graduate or attend college or professional school? Did not attend Attended | Years completed: Graduated | Degree: 4 Employment Experience Please list your last three employers. Start with your present status and note any periods in which you were not employed. Include U.S. Military service, previous company experience, summer/part-time jobs, and cooperative education assignments. Present or most recent company From: To: Base Pay Start: $ per hourweekmonth Base Pay Final: $ per hourweekmonth Next most recent company From: To: Base Pay Start: $ per hourweekmonth Base Pay Final: $ per hourweekmonth Next most recent company From: To: Base Pay Start: $ per hourweekmonth Base Pay Final: $ per hourweekmonth 5 Security Data Have you ever been convicted of a felony? yesno If yes, please explain. 6 Authorization PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY The information that I provided on this application is accurate to the best my knowledge and subject to verification by company. I authorize the persons, schools, current employer (if approved by me in the Employment Experience section) and other organizations or Employers named in this application to provide the Company with any relevant information or school transcript information that may be required to make an employment decision. I understand and agree that: Any misinterpretation or omission of the fact in my application may be justification for refusal of, or if employed, termination from employment. I understand that nothing contained in this application, or in granting an interview is intended to create a contract for either employment or the providing of any benefits. If employed by the company, I understand that my employment is at will, and is not guaranteed for any term, my employment may be terminated by the Company or myself at any time, or for any reason with or without cause or notice. Your electronic signature at the end of this application gives 755 Restaurant Corporation authorization to run a background check as deemed appropriate. I AGREEnoyes Type your initials here: