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    TOTAL SHIELD SECURITY INC
    Address: 14527 South Road, Jamaica, NY 11435
    Email: info@totalshieldinc.com   |   Phone: + 1-631-520-1580

  • EMPLOYMENT APPLICATION FORM

    Section 1

  • INSTRUCTIONS: Form must be completed and submitted. Incomplete forms will not be processed.

  • APPLICANT AS*
  • Date of Birth*
     - -
  • Gender*

  • Race*
  •  -

  • DMV Consent Section -
    IMPORTANT INFORMATION Regarding Your Photo ID

     

    The Department o f State produces photo ID cards in cooperation with the N Y S Department of Motor Vehicles (D M V). If you have a current N Y S D river License or N on-D river ID card, please provide/correct your 9-digit D M V ID number in the space provided below. Then read the informed consent and sign this form. If you do not have a current N Y S photo Driver License or N on-D river ID card, please have your photo taken at any nearby D M V office B E FO RE you complete this application. 


    INFORMED CONSENT : I authorize the N Y S Department of State and the N Y S Department of Motor Vehicles (D M V) to produce an ID card bearing my DMV
    photo. I understand that D M V will send this card to the address I maintain with the Department of State. I also understand that the Department of State and D M V will use my D M V photo to produce all my subsequent ID cards for as long
    a s I maintain my license/registration with the Department of State

  • BACKGROUND QUESTIONS

    Section 2

  • Answer the following questions by checking either "YES" or "NO"


  • 2. Are you a peace officer? If YES, you must submit documentation and training certificates*
  • 3. Are you a peace officer? If YES, you must submit documentation and training certificates*
  • 4. Have you ever been convicted in this state or elsewhere of a crime or offense that is a misdemeanor or a felony? if "YES", you must submit written explanation giving place, court, nature of offense, sentence and/or disposition.*
  • 5. Are there any criminal charges (misdemeanors or felonies) pending against you in any court in this state or elsewhere)? If "YES", you must submit a copy of the accusatory instrument.*
  • 6. Has any license or permit issued to you or a company in which you are or were a principal in New York State or elsewhere ever been revoked, suspended or denied? If "YES", you must submit an explanation*
  • 7. Have you ever been discharged from a correctional or law enforcement agency for incompetence or misconduct as determined by a court of competent jurisdiction, administrative hearing officer, administrative law judge, arbiter, arbitration panel or other duly constituted tribunal, or resigned from such an agency while charged with misconduct or incompetence? If "YES", you must submit an explanation*
  • 8. Have you ever been declared to be incompetent by reason of mental disease or defect which has not been removed by any court of competent jurisdiction? If "YES", you must submit an explanation*

  • 10. Are you under obligation to pay child support or more then for or more months of child support payments? If "YES", you must submit an explanation*

  • EDUCATION AND EMPLOYMENT BACKGROUND

    Section 3

  • IMPORTANT: AN EQUAL OPPORTUNITY EMPLOYER

     

    Total Shield Inc is an Equal Opportunity Employer. It hires qualified personnel based on the individuals merits and achievement of applicants and employee. All hiring decisions are made without regard to race, religion, color, national origin, gender, age, marital status, sexual preference, or physical or mental disability of any applicant.

  • Education Background:

  • Date Attended
     - -
  • Level of Education

  • Year of Graduation
     - -

  •  

     

    Employment Background:

  • From date
     - -
  • To date
     - -

  • APPLICANT AFFIRMATION

    Section 4

  • APPLICANT AFFIRMATION

    I affirm, under the panlties of perjury, that the statements made in this application are true and correct. I understand that false statements o this form shall be sufficient cause for dismissa.

    I understand that if employmened, false statements on this application shall be considered sufficient cause for dismissal.

     

    PRIVACY POLICY STATEMENT

    Total Shield Inc is committed to protecting your privacy. Our Privacy Statement sets forth our current privacy practices with regard to the information we collect when you or your computer interact with our website. By accessing Total Shield Inc Websites you acknowledge and fully understand Total Shield Incʼs Privacy Statement and freely consent to the information collection and use practices described in this Website Privacy Statement  

  • Please download, fill and return the following forms after the submission of this application form.

     

    - Form W-4 

    - Form I-9 Employment eligibility verification

    - W-11

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