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Employment Application

Fields marked with * are required.

PERSONAL INFORMATION

*First Name:
Middle Initial:
*Last Name:
*Address:
Apt.#:
*City:
*State:
*Zip Code:
Home Phone:
Mobile Phone:
Work Phone:
*Email:

EMPLOYMENT PREFERENCES

*Location Preferences:
    1st Choice:
    2nd Choice:
    3rd Choice:
*What is your travel preference?


RESUME & EMPLOYMENT HISTORY

Click the "Browse" button to upload and attach your resume to this application. We would prefer your resume file be in Word (.DOC) or Adobe (.PDF) format, but ASCII text files are also acceptable.
Resume File:
*Are you legally authorized to work in the United States of America?:
*Will you now or in the future require sponsorship for employment visa
status (e.g., H-1B visa status)?:
*Relevant Experience:
*Salary Requirements:
 
Employment History

Current Employer:
Started:
Job Title:
Job Description:
Salary:
Reason for Leaving:

Previous Employer:
Started:
Ended:
Job Title:
Job Description:
Salary:
Reason for Leaving:

Previous Employer:
Started:
Ended:
Job Title:
Job Description:
Salary:
Reason for Leaving:

*Who referred you to Patriot Logistics?
*Have you, during the past (2) years tested positive, or refused a pre-employment drug or alcohol test for an employer where you applied for but did not obtain, safety sensitive transportation work covered by DOT drug and alcohol testing rules?
*If you answered yes, can you provide proof that you successfully completed the DOT return-to-work requirements?


By pressing the "Submit Application" button below and continuing my application, I acknowledge that I have read and understood, and consent to the uses of information set out in, the Data Privacy Notification and Consent statement.

All information is deemed confidential. It will not be shared with outside parties except within the Patriot Logistics network.

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