patriot aviation

PATRIOT AVIATION SERVICES
P.O. Box 21784
Fort Lauderdale, FL 33335-1784
999 Eller Drive, Complex A5
Fort Lauderdate, FL 33316

Phone: 954-462-6040
Fax: 954-462-4024

Click below to print the Faxable Version of the:

• Application for Employment

OR

Please fill the below form:

APPLICATION FOR EMPLOYMENT
Equal Opportunity Employer: Our Company does not discriminate on the basis of race, color, religion, sex, national origin, age marital status, veteran status, disability, or any other status protected under applicable law.

NAME AND ADDRESS

Social Security Number :

Application Date :

(mm/dd/yy)

Last Name :

First Name :

Middle Initial :

Street Addressl :

City :

Zip Code :

State :

Home Phone Number :

Alternate Phone Number :

Emergency Contact :

Phone Number :

Relationship :

POSITION DESIRED

Position applied for :

: Full Time

: Part Time

If part time, please list hours available :

Salary Expected :

Date Available :

(mm/dd/yy)

Are you available to work whatever schedule is necessary to help us meet our Corporate objectives and our obligations to our clients?

: Yes

: No

If no, what shifts or days are you available?

PERSONAL INFORMATION

Are you presently employed?

: Yes

: No

If yes may we contact your present employer?

: Yes

: No

Do you have reliable transportation get to work each day?

: Yes

: No

If no, please explain :

To your knowledge, have you ever been employed by this Company or a subsidiary?

: Yes

: No

If yes, where? :

When? :

Position? :

Reason for leaving? :

Names and relationships of relatives or acquaintances employed by this Company:

Referral Source :

: Walk-In

: Advertisement

Other (please specify) :

: Job Service

: Employee

Referral (if so, name of employee):

EDUCATION

THE FOLLOWING INFORMATION WILL BE USED
ONLY TO THE EXTENT RELEVANT TO THE
QUALIFICATIONS AND POSITION FOR WHICH YOU APPLY.

Circle the highest grade completed:

Do you have a high school diploma or GED?:

: Yes

: No

Did you earn a degree for college?:

: Yes

: No

If yes,name of college :

Degree :

Have you ever been convicted of, or pled guilty or “no contest” (nolo contendere) to, a misdemeanor or felony? (do not include minor traffic infractions for which you never appeared in court, offenses which were dismissed or discharged after completion of successful probation, and convictions or pleas which have been deemed sealed, annulled or expunged by law)?:

: Yes

: No

If Yes, give details concerning the type of crime, the date of the conviction or plea, the penalty imposed, and any other circumstances you deem relevant to a full understanding of what occurred (attach additional sheets if necessary).

NOTE: Answering “Yes” to this question is not an automatic bar to employment. Factors such as age at the time of offence, seriousness, and nature of the violation, relatedness to the job sought, the amount of time which has passed since the event occurred, and evidence of rehabilitation will be taken into account. However, please be advised that a misstatement or omission in answering this question may be grounds for disciplinary action, including discharge.

Have you been arrested or charged with any misdemeanor or felony not disclosed above for which you are out of bail or free on your own recognizance pending disposition or trial (again, do not include minor traffic infractions for which no court appearance is necessary) ?

: Yes

: No

If yes, give the date(s) and details of the arrest or charge and any other circumstances you deem relevant to a full understanding of what occurred (attach additional sheets if necessary).

NOTE: Answering “Yes” to this question is not an automatic bar to employment. We will consider whether the circumstances of the arrest or charge substantially relate to the circumstances of the particular job sought, and other considerations allowed by law. Again, please be advised that a misstatement or omission in answering this question may be grounds for disciplinary action, including discharge.

Have you ever been sued in a civil action with regard to the death of, or personal injury or intentional damage to any person or to any property?

: Yes

: No

If yes, give details concerning the nature of the claims and defenses raised by the parties, the outcome of the action (e.g., settlement, jury verdict, or other disposition).

And any other circumstances you deem relevant to a full understanding of what occurred (attach additional sheets if necessary).

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?

: Yes

: No

Are you currently engaged in using illegal drugs?

: Yes

: No

WORK HISTORY

Have You ever been granted a military or government security clearance?:

: Yes

: No

No If yes, level of clearance:

Do you have any special job skills or qualifications that may be relevant to the position for which you are applying? If so, please describe:

EDUCATION

List all employment, including military, for the post seven (7) years beginning with your present or last job held.

If you need additional space, continue on a plain sheet of paper and attach it to this application.

From :

(mm/yy)

To :

(mm/yy)

Employer :

Address :

City :

State :

Zip Code :

Salary :

Supervisor :

Phone :

Job Title :

Reason For Leaving :

Job Duties :

From :

(mm/yy)

To :

(mm/yy)

Employer :

Address :

City :

State :

Zip Code :

Salary :

Supervisor :

Phone :

Job Title :

Reason For Leaving :

Job Duties :

From :

(mm/yy)

To :

(mm/yy)

Employer :

Address :

City :

State :

Zip Code :

Salary :

Supervisor :

Phone :

Job Title :

Reason For Leaving :

Job Duties :

From :

(mm/yy)

To :

(mm/yy)

Employer :

Address :

City :

State :

Zip Code :

State :

Supervisor :

Phone :

Job Title :

Reason For Leaving :

Job Duties :

Have you ever been dismissed or asked to resign from employment?:

: Yes

: No

If yes, provide a brief explanation, including the name of the employer, approximate date, and any relevant circumstances: