Job Application - Patriot Fire Protection

Email*

Name*

First Name Middle Initial Last Name

Position applying for

Preferred location*

Tacoma/Seattle

Spokane

Vancouver/Portland

Present address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Dear Applicant

Thank you for your interest in becoming a team member at Patriot Fire Protection, Inc! Your application will be reviewed by Supervisors seeking job applicants, and you’ll be contacted if there is an interest in you for further consideration.

We are an Equal Employment Opportunity Employer and will not discriminate against any applicant or employee on any grounds protected under Federal, State, or Local law – including race, color, religion, sex [including pregnancy], national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or any other legally protected status.

If hired by the Company, you will be employed on an at-will basis. As an at-will employee, you may end the employment relationship at any time and for any or no reason. Likewise, if you are hired, the Company will have the right to end your employment at any time and for any or no reason.

We will give this application every consideration. However, in accepting it, we make no commitment of employment to you.

How did you hear about us?*

Telephone number*

Have you ever been employed here?*

Yes

No

If yes, give dates and supervisors name(s)

Date

Name

Date available for work*

What is your salary expectation?

Type of employment desired*

Full time

Part-Time

Temporary

Will you work overtime if asked?*

Yes

No

Any limitations to work hours?*

Yes

No

If yes, explain:

FABRICATION DEPT. ONLY – Are you willing to work swing shift? (2:30pm-11pm)

Yes

No

FABRICATION DEPT. ONLY – Do you prefer to work swing shift? (2:30pm-11pm)

Yes

No

FABRICATION DEPT. ONLY – Do you prefer to work swing shift? (2:30pm-11pm)

Yes

No

Will you now or in the future require employment visa sponsorship to work in the United States?*

Yes

No

If yes, explain:

Do you have a valid Driver's License?*

Yes

No

Have you had any accidents during the past 3 years?*

Yes

No

Have you had any moving violations during the past 3 years?*

Yes

No

Education

Please indicate your highest level of education.*

High School or GED

Some College

Associates Degree

Bachelors Degree

Masters or Doctorate Degree

None

If none, please explain.

Employment History

Upload your resume -OR- fill out the information below. If you applied via a job board (e.g. Indeed), we have your resume on file: no need to resubmit.

Resume

Accepted file types: pdf, docx, Max. file size: 10 MB.

Are you currently employed?

Yes

No

May we contact your current and/or your previous employer(s)?

Yes

No

N/A

If currently employed, why do you desire to change your position?

Voluntary Self-Identification

Our company is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, we invite you to voluntarily self-identify. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement.

We are an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, color, gender, national origin, ancestry, religion, disability, age, veteran status, sexual orientation, gender identity or expression, marital status, pregnancy, citizenship, or any other factor protected by anti-discrimination laws or any other factor protected by anti-discrimination laws.

Submission of this information is voluntary and will be kept confidential. Refusal to provide it will not subject you to any adverse treatment.

Gender*

Female

Male

I Choose Not to Self-Identify

Race/Ethnicity*

Voluntary self-identification (continued)

We are also subject to the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires us to take affirmative action to employ and advance in employment veterans in the following classifications:

A “disabled veteran” is one of the following:
a Veteran of the U.S. military, ground, naval or air service who is entitles to Compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
a person who was discharged or released from active duty because of a service connected disability.
A “recently separated veteran” means any veteran during the three-year period beginning on the date of such veteran’s discharge or release from active duty in the U.S. military, ground, naval, or air service.
An “active duty wartime or campaign badge veteran” means who served on active duty in the U.S. military, ground, naval, or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
An “Armed forces service medal veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below. As a government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.

Veteran status:*

I identify as one or more of the classifications of Protected Veterans listed above

I am not a Protected Veteran

I choose not to self-identify

Voluntary Self-Identification of Disability

Form CC-305
OMB Control Number 1250-0005
Expires 5/31/2023

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

How do I know if I have a disability?

Autism
Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS
Blind or low vision
Cancer
Cardiovascular or heart disease
Celiac Disease
Cerebral palsy
Deafness
Depression or Anxiety
Diabetes
Epilepsy
Gastrointestinal disorders, for example, Chron’s Disease, or irritable bowel syndrome
Intellectual disability
Missing limbs or partially missing limbs
Nervous system condition for example, migraine headaches, Parkinson’s disease, or Multiple sclerosis (MS)
Psychiatric condition, for example, bipolar disorder, schizophrenia, PTSD, or major depression

Please check one of the boxes below*

Yes, I have a disability, Or Have a History/Record of Having a disability

No, I do not have a disability Or Have a History/Record of Having a disability

I do not wish to answer

Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

List Reasonable Accommodation(s) Below

Applicant Statement

I certify that all the information I provided in order to apply for and secure work with Patriot Fire Protection, Inc. [‘Company’], is true, complete, and correct. I expressly authorize, without reservation, the Company to verify the accuracy of all information provided by me in this application, resume, or job interview. Furthermore, if any information provided by me is found to be false, incomplete, or misrepresented in any manner, this will be sufficient to [1] eliminate me from further consideration of employment, or [2] may result in my immediate discharge from the Company, whenever it is discovered.

I understand that [1] the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment, [2] consent to and compliance with such policy is a condition of my employment, and [3] continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on successful passing of job-related physical examinations. I release the Company and its employees, plus other persons or companies, from any and all liability rising out of or related in any way to such testing.

Also, I understand that, in connection with the routine processing of my employment application, the Company may request from a consumer reporting agency an investigative consumer report – including information as to my credit records, character, general reputation, personal characteristics, etc… Upon written request from me, the Company will provide me with additional information concerning the nature and scope of said report, as is required by the Fair Credit Reporting Act.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the Company has the same right to terminate my employment at any time, with or without cause and with or without prior notice except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or duration. I also understand that no official of the Company other than the Company’s President has any authority to enter into an agreement for employment for any specific period of time or to make any agreements contrary to the foregoing, unless they are in writing and signed by the Company’s President.

The Company is an Equal Employment Opportunity Employer.

I certify that I read, fully understand, and accept the terms of the foregoing Applicant Statement.*

Yes

No

Phone

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