Employment Application
American Security Products Co. and its affiliated entities (AMSEC) is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, national origin, pregnancy, age, disability, veteran status, genetic information, sexual orientation, gender identity or gender expression, marital status,, or any other characteristic protected under federal, state, or local law. It is the policy of the company to comply with all aspects of the Americans with Disability Act and the California Fair Employment Housing Act. Upon request, the company will provide reasonable accommodations to individuals with disabilities who need an accommodation to fully participate in the application process. This is an application for employment at AMSEC or one of its affiliated entities. The information collected by this application is solely to determine the suitability for employment, verify identify, and maintain employment statistics on applicants.
GENERAL INFORMATION
Last Name
*
First Name
*
Middle Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Home Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
1) If hired can you present proof of your legal right to work in the United States?
*
Yes
No
2) Do you now, or will you in the future, require our sponsorship for employment-based visa status?
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Yes
No
3) Are you at least 18 years of age?
*
Yes
No
4) Have you ever worked for American Security Products before?
*
Yes
No
5) If you answered yes to #4, list the dates and supervisor(s).
6) Do you have friends or relatives the work for American Security Products?
*
Yes
No
7) If you answered yes to #6, enter their names and relationship to you.
8) Have you ever been terminated, asked to resign or left a job without notice?
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Yes
No
9) If you answered yes to #8, provide the employer name and explain the circumstances.
POSITION
1) Position applying for or type of position desired:
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2) Available for:
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Full Time
Part Time
3) When can you start?
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-
Month
-
Day
Year
Date
4) If required, can you work overtime?
Yes
No
5) Can you perform the essential functions of the job you are applying for, with or without reasonable accommodation?
*
Yes
No
6) How did you hear about this position or who referred you?
EDUCATION
List your Highschool, Colleges, Business Schools, Military Training
Are you a high school graduate?
Yes
No
If not, have you passed the GED?
Yes
No
1) Name and Address
Number of Years Attended
Major/Area of Study
Degree(s)
2) Name and Address
Number of Years Attended
Major/Area of Study
Degree(s)
3) Name and Address
Number of Years Attended
Major/Area of Study
Degree(s)
4) Name and Address
Number of Years Attended
Major/Area of Study
Degree(s)
WORK EXPERIENCE
List your work experience, starting with your most recent employment. DO NOT enter "see resume."
1) Employer Name and Address
*
Supervisor(s) Name(s) and Title(s)
*
Start Date :
*
-
Month
-
Day
Year
Date
End Date :
*
-
Month
-
Day
Year
Date
Job Title:
*
Job Duties
*
Reason(s) for leaving
*
May we contact this employer?
*
Yes / Si
No / No
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
2) Employer Name and Address
*
Supervisor(s) Name(s) and Title(s)
Start Date
*
-
Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
Date
Job Title
*
Job Duties
*
Reason(s) for Leaving
*
May we contact this employer:
*
Yes / Si
No / No
Phone Number / No. de telefono
*
Please enter a valid phone number.
Format: (000) 000-0000.
3) Employer Name and Address
*
Start Date
*
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Job Title
*
Job Duties
*
Reason for Leaving
*
May we contact this employer?:
*
Yes / Si
No / No
Phone Number / No. de telefono
*
Please enter a valid phone number.
Format: (000) 000-0000.
OTHER SKILLS
List any special training, work-related skills, achievements, equipment certification, occupational licenses, military training, certifications or registrations relevant to this position. If hired, you may be required to submit copies for verification.
PROFESSIONAL REFERENCES
Enter the names and contact numbers of three (3) business/work references of people who are not related to you, or if not applicable you may enter school or personal references of people who are not related to you.
1) Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Relationship
*
Example: Supervisor, peer, etc.
Number of Years Known
*
Company Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
2) Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Relationship
*
Example: Supervisor, peer, etc.
Number of Years Known
*
Company Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
3) Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Relationship
*
Example: Supervisor, peer, etc.
Number of Years Known
*
Company
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SIGNATURES
Please read carefully, initial each paragraph and sign below.
I herby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally complete this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment will be grounds for rejection of this application or for immediate discharge, regardless of the time passed before discovery.
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Initials
I hereby agree that, where I have so indicated above, American Security Products may contact my previous employers, and I authorize those employers to disclose to American Security Products all records and information pertinent to my employment with them.
*
Initials
I understand that, before I am permitted to begin employment or throughout my employment, American Security Products may require me to undergo a background check. If the company wishes to conduct a background check, I will be notified separately.
*
Initials
I understand that before I am permitted to begin employment or throughout my employment, I may be required to pass drug or alcohol screening.
*
Initials
I understand that nothing contained in this Application, or conveyed during any interview that may be granted or during my employment, if hired, is intended to create an employment contract between American Security Products and me. In addition, I understand and agree that if I am employed, my employment will be "at-will" - that is, for no definite or determinable period of time, any may be terminated at any time, with our without notice, at either my option or American Security Products' option, at that no promises or representations to the contrary are or will be binding on American Security Products unless made in writing and signed by me and by an authorized representative of American Security Products.
*
Initials
I agree and authorize American Security Products to contact and confer with the above-named references. I understand that American Security Products may ask references questions about my educational background, work experience, achievements, performance, and reasons for separation for former employment. I expressly authorize my references to answer such questions.
*
Initials
Upload your Resume (Optional)
SIGNATURE / FIRMA
Name
*
First Name
Last Name
Signature
*
Date
*
-
Month
-
Day
Year
Date
Please verify that you are human.
*
Submit
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