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Job Application

Application for Employment

It is the policy of Fly Pie to provide equal opportunity on the basis of merit, qualification, and competency to all persons, without regard to race, color, religion, sex, national origin, age, marital status, sexual orientation, gender, identity, ancestry, medical condition, family care status, pregnancy or physical disability (except where physical is a valid occupational qualification), or any other basis protected by law.

Shifts you can work
Are you available to work weekends and holidays?

Personal Information

If hired can you present evidence of your U.S. citizenship or your legal right to live and work in the U.S.?
Are you at least 16 years old?
Have you ever been convicted of a criminal offense?
Do you have any friends or relatives working for Fly Pie?
Are you currently employed?
Who referred you to Fly Pie?

Employment History

List employment history chronologically starting with the most current. Please do not substitute a resume for this information.

Employment history

Are you Eligible for rehire?
May we contact this employer?



Beginning with High School

Special skills, Certifications or Licenses

List any special skills, certifications or licenses that may be relevant to the position for which you are applying.


Please only list references of people who you are not related to


Applicant’s Acknowledgement

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment, and that the answers given by me are true and correct to the best of my knowledge. I understand that any omissions or misstatement of material fact on this application, or on any document used to secure employment, shall be grounds for rejection of this application and for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I authorize Fly Pie to secure information about my experience with former employers, education institutions and agencies, and for those parties to provide information concerning my experience. I release all parties from any liability arising here from. Furthermore, I understand that all offers of employment are contingent upon successful completion of a thorough reference check.

I understand that nothing contained in this application, or conveyed during any interview that may be granted, or during my employment, if hired, is intended to create any employment contract between me and the company. In time, with or without prior warning, with or without notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company. This statement of the employment at-will relationship is the entire agreement between employees and Born and Raised as to the duration of my employment.

I certify that I have read and understand the foregoing, and to the best of my knowledge and belief, all the information on this form is true and correct.

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