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Employee Application

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Personal Information

First Name *

Middle Initial

Last Name *

Home Phone *

Mobile Phone

Email Address *

Address1 *

Address2

Country *

State *

City *

Zip Code *

Years of Work Experience *

You are looking for *

Are you over the age of 18? *

Yes No

Have you ever worked for this company

Yes No

When

Where

Position Held

Reason for leaving

Have you ever been convicted fo a crime?

Yes No

Please explain the circumstances below without identifying the names of any other persons involed in the incident:

Valid Drivers Licence

Yes No

Driver’s License Number

State of Issuance

Do you own a dependable automobile:

Yes No

Make

Model

Year

Work Availability *

Date available to begin working

Total hours availbale per week *

Please check the days and shifts that you are available to work below: *

	Sun	Mon	Tue	Wed	Thu	Fri	Sat
1^STshift
2^ndshift
3^rdshift

Employment History

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Certification

Are you certified/licensed/commissioned to work unarmed

Yes No

Are you certified/licensed/commissioned to work armed

Yes No

Writing Test

Please describe in detail what you see in the picture above *

Would you like to receive Email Alerts for other security positions in your area?

Yes No

Employment History

Company *

From *

To *

State *

Your job title/Rank *

Is this a security guard company

Yes No

Please complete this section to allow us to gauge your general work experience

Client company/location that you provided security at?

Client Company address

Client Company Phone

Did you report directly to the client contact

Yes No

Client Contact Name *

May we contact this person as a reference?

Yes No

Kind of site *

Pay rate while at the site *

Did you foot patrols at this site?

Yes No

How many hours per shift did you spend waliking *

where you able to consistently perform the patrols

Yes No

How were rounds verfified

Were you required to submit reports?

Yes No

How were reports submitted

Which shift did you work at the site?

Was this site armed?

Yes No

Please check all equipment that you were issued for this site

Did you ever have to use this equipment

Yes No

Did you ever have to contact emergency services

Yes No

Were you ever injured at this location

Yes No

Were you required to operate any type of vehicle on site

Yes No

Please check which ones