Apply — Flyin' Farmer Pitstop | Employment Application

Applicant Information

Full Name *

Address

City / State / ZIP

Phone *

Email

Date Available

Availability

Days Available

Mon Tue Wed Thu Fri Sat Sun

Hours Available

Desired Hours Per Week

Preferred Shift

Opening Mid-Day Evening (to close) Any

Employment Questions

I am at least 18 years old. I can lift up to 40 pounds. I am comfortable handling cash and operating a POS register. I can stand for extended periods and work in a fast-paced environment.

Do you have a Food Handler Permit?

Yes No Will obtain

Have you ever been convicted of a felony?

No Yes

If yes, please explain (a conviction does not automatically disqualify you)

Employment History

Please list your two most recent employers.

Employer 1

Employer

Position

Dates

Supervisor

Reason for Leaving

Employer 2

Employer

Position

Dates

Supervisor

Reason for Leaving

References

Please provide two personal or professional references (not family members).

Reference 1

Name

Relationship

Phone

Years Known

Reference 2

Name

Relationship

Phone

Years Known

Tell Us About Yourself

Why would you be a great addition to the Flyin' Farmer Pitstop team? Tell us anything else you'd like us to know.

Applicant Certification

I certify that the information I have provided is true and complete to the best of my knowledge. I understand that any false or misleading information may result in my application being rejected or, if hired, termination of employment. I understand that, if employed, my employment will be at will unless otherwise provided by law or written agreement.

Digital Signature (Type your full name) *

Date *

I agree to the above certification statement. *

Application Received!