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Employment Application

Patriot Cleaning Services is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.

Personal Information

First Name *

Last Name *

Email *

Phone *

Street Address

City

State

ZIP

Position & Availability

Position Applying For *

Earliest Start Date

Availability (days & hours)

I am at least 18 years of age. *I am legally authorized to work in the United States.I have reliable transportation to travel to job sites.I have prior cleaning or janitorial experience.

Employment History

Most Recent Employer

Employer Name

Phone

Dates Employed

Job Duties

Previous Employer

Employer Name

Phone

Dates Employed

Job Duties

Professional References

Reference 1

Reference 2

Education

Highest Level Completed

Legal Disclosures & Acknowledgments

Equal Employment Opportunity

Patriot Cleaning Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, and gender identity), national origin, age, disability, genetic information, marital status, military or veteran status, or any other status protected by federal, state, or local law.

Background Check Authorization

I understand that Patriot Cleaning Services may conduct a criminal background check and verify my employment history, education, and references as part of the hiring process. I authorize the company to obtain consumer reports and investigative consumer reports about me, including from third-party background check providers, in accordance with the Fair Credit Reporting Act (FCRA) and applicable Virginia law. I understand that a criminal conviction will not automatically disqualify me and will be considered on a case-by-case basis.

I consent to a background check. *

Motor Vehicle Record Check (if applicable)

If the position requires driving a company or personal vehicle for work purposes, I authorize Patriot Cleaning Services to obtain and review my motor vehicle record (MVR) from the Virginia Department of Motor Vehicles or applicable state agency.

I consent to a motor vehicle record check if applicable.

At-Will Employment

I understand and agree that if hired, my employment will be "at-will" under Virginia law. This means that either I or Patriot Cleaning Services may terminate the employment relationship at any time, with or without cause, and with or without notice. No representative of the company has authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing, unless such agreement is in writing and signed by an authorized company officer.

I acknowledge and understand the at-will employment relationship. *

Truthfulness & Accuracy

I certify that all information provided in this application is true, complete, and correct to the best of my knowledge. I understand that any false statement, omission, or misrepresentation may result in the rejection of my application or termination of employment if discovered after hire.

I certify that all information is true and accurate. *

Electronic Signature

By typing your full legal name below, you agree that this constitutes your electronic signature under the Virginia Uniform Electronic Transactions Act (VUETA) and has the same legal effect as a handwritten signature.

Type Your Full Legal Name *