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Have you ever been convicted of a felony?

If you have ever been convicted of a felony, please explain.

Institution(s) in which you were incarcarated.

Have you ever worked for the Federal or any state prison system?

If you have worked for the Federal or any state prison system, please explain.

Do you have any relatives working in the prison system?

If you have any relatives working in the prison system, please provide their Name, Relationship, & Location

If you are on an inmate's visitation list, have any communication with, or have incarcerated relatives in the event area, please indicate unit name and Inmate name.

Submission of this application constitutes an understanding and agreement with Fly Right, Inc. and all other institutions involved. All above information is true and accurate to the best of my knowledge and belief. I hereby authorize the applicable Department of Corrections, correctional institution and/or this ministry to conduct a criminal background check to verify this information. I agree to abide by all the rules and policies of the correctional institution and this ministry. I also agree to hold harmless Fly Right, Inc. and the institutions that I am assigned to for any harm whatsoever that could form the basis of a claim before, during or after events.

Who should we contact in case of emergency?

Emergency Contact's Phone

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