QPDSA EMPLOYMENT APPLICATION

Confidential Employment Application

Quality Professional Detective & Security Agency, LLC 7248 W. Benton Drive, Frankfort, IL 60423
Compliance With the Equal Employment Opportunity Laws and Regulations

Quality Professional Detective & Security Agency, LLC reaffirms its policy to provide equal employment opportunities in recruiting and hiring. We have zero-tolerance for discrimination, intimidation, or harassment of any kind.

Quality Professional Detective & Security Agency, LLC is an equal opportunity employer. In keeping with our values, employment may be subject to full background and reference checks, and drug testing. We are an equal opportunity employer.
CANDIDATE INFORMATION
Full Name*

First NameMiddle NameLast Name
Position Applying for
Application Date*

MonthDayYear
Date
Part-time or Full Time*
(Type: Part-Time or Full Time)
Contact Email Address*
example@example.com
Phone*
Street Number*
Street Name*
Apt.
City*
State*
Zip Code*
The above email address will be used to contact you.

Please confirm Yes to the following questions. If left unchecked means No.

	Yes
Are you 18 years of age or older?
If hired, can you provide proof of authorization to work in the U.S?
Will you now or in the future require sponsorship for employment visa status (e.g., H-1B visa status)?
Are you currently working through a temporary outside agency?

When could you start work?
What is your hourly wage expectation?*
Hiring Process: The hiring process may consist of a testing session, phone screen, face-to-face interview, background check, and drug/physical screen. Are you willing to participate in this process?

Please confirm Yes to the following questions. If left unchecked means No.

	Yes
drug/physical screen. Are you willing to participate in this process?
Are you currently employed?
Do you currently have a PERC card?
Can you show proof of Armed Certification Training?
Can you show proof of Unarmed Certification Training?

*I understand that if this position requires a valid driver’s license, proof will be required after hire*
Hours of Work:

Please confirm Yes to the following questions. If left unchecked means No.

	Yes
Are you able and willing to work on call?
Are you able and willing to work mandatory overtime with little or no advanced notice?
Are you able and willing to work on the weekends and holidays?
Are you able and willing to work a 40 hour workweek?

Are you able and willing to lift no more than 50 lbs.?

YesNo
Work Environment:
Are you willing and able to work in hot, cold, or dirty conditions?
Yes

YesNo
Are you willing to wear personal protective equipment at all times during a work shift?

YesNo
EDUCATION BACKGROUND
Highest level of education completed?*

High School IncompleteHigh SchoolCollegeGraduate School
Did you graduate from High School?

YesNo
Can you provide verification GED?

YesNo
Can you provide verification of High School Equivalency?

YesNo
Name of High School
Address

Address

Street Address Line 2

CityState

Postal / Zip Code
COLLEGE EDUCATION
College/University Attended
City
State
Did you graduate from College?

YesNo
Type of Degree:
Dates of Attendance

MonthDayYear
Date
EMPLOYMENT HISTORY – CURRENT OR LAST JOB WORKED
Company Name
May we contact?

YesNo
Address

Company Address

Street Address Line 2

CityState

Postal / Zip Code
Start Date of Employment

MonthDayYear
Date
End Date of Employment

MonthDayYear
Date
Job Title
Supervisors
Reason for Leaving

TerminatedResignedLaid offCurrently EmployedOther Explain
Terminated
EMPLOYMENT HISTORY CONTINUED
Company Name
No

May we contact?Yes
Address

Company Address

Street Address Line 2

CityState

Postal / Zip Code
Start Date of Employment

MonthDayYear
Date
End Date of Employment

MonthDayYear
Date
Job Title
Supervisors
Reason for Leaving

TerminatedResignedLaid offCurrently EmployedOther Explain
EMPLOYMENT HISTORY CONTINUED
Company Name
No

May we contact?Yes
Address

Company Address

Street Address Line 2

CityState

Postal / Zip Code
Start Date of Employment

MonthDayYear
Date
End Date of Employment

MonthDayYear
Date
Supervisor
Supervisor's Phone
Reason for Leaving

TerminatedResignedLaid offCurrently EmployedOther Explain
EMPLOYMENT HISTORY CONTINUED
Company Name
No

May we contact?Yes
Address

Company Address

Street Address Line 2

CityState

Postal / Zip Code
State
Start Date of Employment

MonthDayYear
Date
End Date of Employment

MonthDayYear
Date
Supervisors
Supervisor's Phone
Reason for Leaving

TerminatedResignedLaid offCurrently EmployedOther Explain
EMPLOYMENT HISTORY CONTINUED
Company Name
No

May we contact?Yes
Address

Company Address

Street Address Line 2

CityState

Postal / Zip Code
Start Date of Employment

MonthDayYear
Date
End Date of Employment

MonthDayYear
Date
Supervisor's Phone
Supervisors
Reason for Leaving

TerminatedResignedLaid offCurrently EmployedOther Explain
EMPLOYMENT GAPS – DO NOT LEAVE BLANK IF THERE ARE ANY GAPS
Please explain any gaps in employment below within the last 10 years
REFERRAL SOURCE
Identify how you were referred to Quality Professional Security & Detective Agency, LLC (Ex: WOTC, Career Builder, Indeed, Simply Hired, Employee Referral.
Referral Source
Internal Employee Referral Full Name
If employee referral, what is your relationship to the employee?
Acknowledgment: I certify that all the answers I have provided are correct to the best of my knowledge and belief. I understand that misrepresentation, omitting information, or submitting an incomplete application will be considered just cause for my application's rejection.
Please check 'Yes' that you confirm the above acknowledgment:

YesNo
I certify that all of my answers given here are true and complete to the best of my knowledge, and that supplying false information herein shall result in immediate disqualification for consideration for employment or termination from employment, regardless of when such false information is discovered. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision; and I hereby agree to indemnify and hold harmless each and every current or prior employer in defending against any charge, complaint or suit filed with any Federal, State or local agency, or in any court of the State or Federal government for providing an accurate, factual history of employment information. I understand that neither this document nor any offer of employment from the employer constitutes an employment contract, unless a specific document to that effect is executed by the employer and employee in writing.
Applicant Signature*

Clear
Date*

MonthDayYear
Date
Quality Professional Detective & Security Agency, LLC - Employment Application

*** CONFIDENTIAL INFORMATION ***
Should be Empty:

Confidential Employment Application

CANDIDATE INFORMATION

Hours of Work:

Work Environment:

EDUCATION BACKGROUND

COLLEGE EDUCATION

EMPLOYMENT HISTORY – CURRENT OR LAST JOB WORKED

EMPLOYMENT HISTORY CONTINUED

EMPLOYMENT HISTORY CONTINUED

EMPLOYMENT HISTORY CONTINUED

EMPLOYMENT HISTORY CONTINUED

EMPLOYMENT GAPS – DO NOT LEAVE BLANK IF THERE ARE ANY GAPS

REFERRAL SOURCE

Quality Professional Detective & Security Agency, LLC - Employment Application