Redemption Program Application

Felon Applicant Full Name *

Department of Correction Number *

Felon Applicant Phone Number *

Felon Applicant Email Address *

Felon Applicant Current Address *

What type of job are you looking for? *

Cook
Dishwasher
Prep Chef
Server
Etc..

If etc. List it here *

Do you have any previous work experience in the food service industry? If yes, list past job roles. *

Are you willing to relocate for work? *

Yes
No

What are your preferred work hours? *

Full-Time
Part-Time
Flexible Schedule

Are you open to entry-level positions, or do you have specific job requirements? *

What skills do you have that are relevant to the food service industry and hospitality? *

Knife Skills
Food Safety
Customer Service
All the Above

Have you been convicted of a felony *

Yes
No

if yes, what was the nature of your conviction?(This will be kept confidential and only shared with employers who accept second- chance hires.) *

What year were you convicted? *

Have you completed probation or parole *

Yes
No
Currently on probation or parole

Are there any restrictions on where you can work? *

Cannot work around alcohol
Cannot leave the state

Do you have any professional certifications? *

StateFoodSafety
Culinary Training
First Aid
All the Above

Are you Food Safe Certified? Would you be interested in additional training or certifications to improve your job prospects? *

Yes
No
Would like to sign up for training

Felon Applicant Resume & Food Safety Certification Certificate *

Emailed
Mailed
Dropped Off

Do you have reliable transportation to and from work? *

Do you need assistance with housing, childcare, or other support services to maintain employment? *

What challenges have you faced when looking for a job after your conviction? *

Would you like to be notified of job openings that match your skills and background? *

Is there anything else we should know about your work history or job goals? *

FELON REDEMPTION PROGRAM SERVICES