Management Development Program

Thank you for your interest
in furthering your McD career.

Step 1 of 9

Thank you for your interest in the Management Development Program at McDonald's. We look forward to receiving and reviewing your application. These questions are specific to you and should be answered individually. This form includes the management application, background check notice and authorization form, and basic interview questions. Answering any of these questions with assistance from a manager, co-worker, or supervisor will disqualify you from the applicant pool.
Do you currently work in a restaurant?*
- Yes
- No

Name*
First Last
Restaurant Number*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Last 4 Social Security Number*
Date of Hire*
MM slash DD slash YYYY
Passing Date for Drive Thru Service Area Leader Verification*
MM slash DD slash YYYY
Passing Date for Dining Room Service Area Leader Verification*
MM slash DD slash YYYY
Passing Date for Kitchen Area Leader Verification*
MM slash DD slash YYYY

Starting with your most recent position, list all previous employers. Do not answer with your current position at McDonald's. Be complete and specific.
Employer 1 Name*
Employer 1 Address*
Street Address Address Line 2 City State ZIP Code
Position*
Employer 1 Start Date*
MM slash DD slash YYYY
Employer 1 End Date
MM slash DD slash YYYY
Employer 1 Reason for Leaving
Employer 2 Name
Employer 2 Address
Street Address Address Line 2 City State ZIP Code
Position
Employer 2 Start Date
MM slash DD slash YYYY
Employer 2 End Date
MM slash DD slash YYYY
Employer 2 Reason for Leaving
Employer 3 Name
Employer 3 Address
Street Address Address Line 2 City State ZIP Code
Position
Employer 3 Start Date
MM slash DD slash YYYY
Employer 3 End Date
MM slash DD slash YYYY
Employer 3 Reason for Leaving

List the contact information of three individuals, not related to you, whom you have known for a minimum of one year.
Reference 1 Name*
First Last
Reference 1 Address*
Street Address Address Line 2 City State ZIP Code
Reference 1 Phone*
Reference 1 Years Known*
Reference 2 Name*
First Last
Reference 2 Address*
Street Address Address Line 2 City State ZIP Code
Reference 2 Phone*
Reference 2 Years Known*
Reference 3 Name*
First Last
Reference 3 Address*
Street Address Address Line 2 City State ZIP Code
Reference 3 Phone*
Reference 3 Years Known*

Please read and sign each section to acknowledge this agreement.
Background Check*
New employees are required to produce verification of their legal right to work in the United States. If you are offered employment, you will be required to produce sufficient documentation of your identity and right to work in the United States and to attest under penalty of perjury that the documents you have produced are genuine and relate to you.

Our policy is to fill every position without regard to race, color, religion, creed, sex, sexual orientation, marital status, age, national origin, ancestry, disability, medical condition. We are an equal opportunity employer and select employees on the basis of qualifications. Please contact a manager or supervisor if you have any questions or complaints regarding this policy.

I authorize investigation of all statements contained in this application. I understand that falsification, misrepresentation or omission of facts called for will result in immediate dismissal or removal of my application from consideration or immediate discharge if I am employed, regardless of the time elapsed before discovery. I authorize the Company to secure information about my experience with former employers, education institutions and agencies, and for those parties to provide information concerning my experience, releasing all parties from any liability arising there from.
- I agree
At Will Employment*
If I am employed by the Company, I agree to conform to the rules and regulations. I also understand and agree that, except for employment-at-will status, my wages, hours, working conditions, job assignment(s) and compensation rate(s) are subject to change I understand my employment can be terminated, with or without cause and with or without notice, at any time at the option of the Company or myself. I understand that no manager, supervisor or representative of the Company has authority to enter into any agreement for employment for any special period of time, or to make any agreement contrary to the foregoing. I understand that only the Company has the authority to make any agreement contrary to the foregoing and then only in writing.
- I agree
True and Correct Information*
My signature below certifies that I have read and understand the foregoing and, to the best of my knowledge and belief, the information on this form is true and correct.

My signature below also certifies that I agree to the employment-at-will relationship and agree to be bound by the terms and conditions of employment stated in this application if I am employed by the Company. This application contains all the understanding and agreements between myself and your client and supersedes all prior and/or contemporaneous practices, oral or written agreements, understandings, statements, representations and promises, express or implied, between myself and the Company. I understand and agree that no person who is either an agent or employee of the Company may modify, delete, vary or contradict, whether orally or in writing, the terms and conditions of employment set forth herein.
- I agree
Signature*
Date
MM slash DD slash YYYY
Time

: Hours

Minutes

AM/PM

Authorization and Release*
I hereby authorize Golden State Restaurant Group and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment purposes.

I understand that the score of the consumer report/investigative consumer report may include, but is not limited to the following areas:
Verification of social security number; current and previous residences; employment history including all personnel files; education including transcripts; character references; credit history and reports; criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; birth records; motor vehicle records to include traffic citations and registration; and any other public records or to conduct interviews with third parties relative to my character, general reputation, personal characteristics or mode of living.

I further authorize any individual, company, firm, or public agency (including the Social Security Administration and law enforcement agencies) to diverge any and all information, verbal or written, pertaining to me to Golden State Restaurant Group or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have to include information or data received from other sources.

I hereby release Golden State Restaurant Group, the Social Security Administration, and its agents, officials, representatives, or assigned agencies, including officers, employees, or related personnel both individually and collectively, from any and all liability for damages of whatever kind, which may, at anytime, result to me, my heirs, family, or associates because of compliance with this authorization and request to release. you may contact me as indicated below.

I understand this authorization automatically expires 90 days from the date executed below and that I have the right to revoke the authorization at any time, provided I do so in writing.
- I agree
Name*
First Middle Last Suffix
Former Names User
First Last
Present Address*
Street Address Address Line 2 City State ZIP Code
Years at Present Address*
Former Address*
Street Address Address Line 2 City State ZIP Code
Years at Former Address*
Date of Birth*
Phone*
Social Security Number*
Drivers License Number*
Signature*
Date*
MM slash DD slash YYYY
Acknowledgment*
- I certify that the information submitted is true and correct to the best of my knowledge

Thank you for your interest in furthering your McD career.

Step 1 of 9

We are looking for hard working, enthusiastic individuals!

Thank you for your interest
in furthering your McD career.