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Join our team, where your skills will contribute significantly to transforming spaces while ensuring a satisfaction through exceptional craftsmanship and professionalism.

PATRIOT BUILDERS

APPLICATION FOR EMPLOYMENT

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex,

religion, national origin, disability or other protected classifications

Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions

on this application. You may attach a résumé, but all questions must be answered.

Company Name (Employer)

Position Applying For

PERSONAL DATA

First Name

Middle Name

Last name

Complete Address

Phone

Email

Birthday

Month

Day

Year

Date You Can Start Work

Salary Desired

Do you have a High School Diploma or GED?

Yes

No

POSITION INFORMATION

(Check all that you are willing to work)

Hours

Full-Time

Part-Time

Status

Regular

Temporary

Are you authorized to work in the U.S. on an unrestricted basis?

Yes

No

Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.)

Yes

No

If Yes, explain:

Have you been told the essential functions of the job or have you been viewed a copy of the job description listing the essential functions of the job?

Yes

No

Can you perform these essential functions of the job with or without reasonable accommodation?

Yes

No

QUALIFICATIONS

(Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training)

School Name

Degree

Address / City / State of School

School Name

Degree

Address / City / State of School

Others

Degree

Address / City / State of School

SPECIAL SKILLS

(List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc.)

REFERENCES

Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have three professional references, then list personal, unrelated references.

Name

Address

Phone

Relationship

Name

Address

Phone

Relationship

Name

Address

Phone

Relationship

WORK HISTORY

Start with your present or most recent employment and work back. Use separate sheet if necessary. (INCLUDE PAID AND UNPAID POSITIONS)

Work #1

Job Title

Start Date

End Date

Company Name

Supervisors Name

Company Address

Duties

Reason for Leaving

Starting Salary

Ending Salary

Work #2

Job Title

Start Date

End Date

Company Name

Supervisors Name

Company Address

Duties

Reason for Leaving

Starting Salary

Ending Salary

Work #3

Job Title

Start Date

End Date

Company Name

Supervisors Name

Company Address

Duties

Reason for Leaving

Starting Salary

Ending Salary

I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am

employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Patriot Builders to make an investigation of any of the facts set forth in this application and release the Patriot Builders from any liability. Patriot Builders may contact any listed references on this application.

I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category

employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.

E-Signature

Signature field is empty.

Date Signed

Month

Day

Year

File Upload (PDF, Word, Excel, Image)

“Acquiring the right talent is the most important key to growth. Hiring was—and still is—the most important thing we do.” – Marc Benioff