Instructions
(If you need help in filling out this application form, please notify us so that we can try to accommodate your needs.)

1. Please read “Application Information.”
2. Complete all fields of this form.
Applicant Information
This Application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. All qualified applicants will receive consideration without discrimination based on gender, marital status, race, religion, age, creed, national origin, or status as a qualified individual with a disability. A felony conviction will be considered but will not necessarily bar an applicant from employment.

I certify that I have read and understand the APPLICANT INFORMATION paragraph on this form and that the answers and statements given by me on this application are complete and true to the best of my knowledge and belief. I understand that employment with The Patriot, if offered, will be at-will and may be terminated at any time for any reason, with or without notice or cause, by me or by The Patriot.
(Your application will be considered for this position only. If you wish to be considered in the future, please reapply.)
(You may be asked to describe or demonstrate how you will be able to perform the functions of this job with or without reasonable accommodations.)
(Proof or lawful work status will be required upon employment.( i.e. valid drivers license, social security card, green card)
Most Recent Employment Reference:
Your application may not be considered unless every question is answered. Since we will make every effort to contact previous employers, the correct telephone numbers of past employers are critical.
Second Most Recent Employment Reference
Other References
Include only individuals familiar with your work ability. Do not include relatives.
Release Regarding Information
I authorize The Patriot and/or its agents, including consumer reporting bureaus, to verify any of the information I have given in my application for employment including, but no limited to, criminal history and motor vehicle driving records. I authorize all persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said person, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information.

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