• EXPERT INVESTIGATION GROUP

    5 Marty Lane | Egg Harbor Township, NJ 08234

    Office: (609) 429-4609

  • Security Officer Application Form

  • NJ SORA*
  • Date*
     - -
  • Date of Birth*
     - -

  • Present address

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are you 21 years or older ?*

  • Days/hours available to work

  • Can you work nights?*

  • School

  • HAVE YOU EVER BEEN ARRESTED?*
  • HAVE YOU EVER BEEN CONVICTED OF A CRIME?*
  • DO YOU HAVE A VALID DRIVER'S LICENSE?*
  • Expiration date
     - -
  • Have you had any accidents during the past three years?
  • Have you had any moving violations during the past three years?

  • Please list two references other than relatives or previous employers.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • MILITARY

  • HAVE YOU EVER BEEN IN THE ARMED FORCES?*
  • ARE YOU NOW A MEMBER OF NATIONAL GUARD?*
  • Date Entered
     - -
  • Discharge Date
     - -

  • Work Experience

    Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give company name.

  • May we contact your present employer?*
  • Format: (000) 000-0000.

  • Employments dates

  • From
     - -
  • To
     - -

  • Pay or salary

  • Format: (000) 000-0000.

  • Employments dates

  • From
     - -
  • To
     - -

  • Pay or salary

  • PLEASE READ CAREFULLY

  • In exchange for the consideration of my application by Expert Investigation Group. (hereinafter called “the Company”), I agree that:

     

    Neither the acceptance of this application nor the subsequent entry into any type of work relationship, either in the position applied for or any other position, and regardless of the contents of Associate handbooks, Policy and Procedures manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an Associate of The Expert Investigation Group, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President of the Company. Both the undersigned and The Expert Investigation Group may end the placement relationship at any time, without specified notice or reason. If placed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

    I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

    I also understand that (1) the Company has a drug and alcohol policy that provides for pre-placement testing as well as testing after placement; (2) consent to and compliance with such policy is a condition of my placement; and (3) continued placement is based on the successful passing of testing under such policy. I further understand that continued placement may be based on the successful passing of job-related physical examinations.

    I understand that, in connection with the routine processing of your placement application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

    All applicants that are hired are placed on a per-diem or “as needed” basis.

  • APPLICANTS CERTIFICATION AND AGREEMENT

     

    I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I am aware that the falsification of this application or the omission of complete information will result in disqualification, or upon discovery, termination of employment. The County is hereby authorized to make any investigation of my prior educational and work history.

  • Date*
     - -

  • Resumes, letters of reference, etc. submitted with the application become property of the Expert Investigation Group and cannot be returned.

     

    You must sign the “Authorization to Release Information” statement to enable us to contact prior employers, even though we may not contact your present employer.

    The Expert Investigation Group is an equal employment opportunity employer. We adhere to a policy of making placement decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability.

  • EXPERT INVESTIGATION GROUP

    5 Marty Lane | Egg Harbor Township, NJ 08234

    Office: (609) 380-7049

  • AUTHORIZATION TO RELEASE INFORMATION

  • Date of Birth*
     - -

  • To Whom It May Concern:

     

    I,                      *                                     , authorize the Expert Investigation Group to contact any organization or individual that I have listed on my employment application, resume or mentioned in job interviews and obtain from them any relevant information about my job qualifications, including my experience, skills, and abilities. I understand that I am consenting to the release of any reference- related information about me held or known by my former employers, supervisors, and co-workers. In addition, I consent to the release of any information about my education, experience, abilities, or work-related characteristics or traits held or known by other organizations or individuals, including schools and educational institutions, professional or business associates, and friends and acquaintances that the Expert Investigation Group might contact in the course of conducting a reference check or background investigation of my suitability for employment.

  • I understand and acknowledge that this release of information can involve my qualifications, performance, credentials, or other characteristics or factors affecting my suitability for employment with the Expert Investigation Group.

    Specifically, I am authorizing the release of any information about my performance, experience, capability, attitude, or other work-related characteristics  that  currently  are  in  the  possession  of any organization or individual that I have listed on my employment application, resume or mentioned in job interviews.

    In exchange for the Expert Investigation Group’s consideration of my employment application, I agree not to file or pursue any complaints, claims, or legal actions of any kind against any organization or individual that provides work-related information about me to the Expert Investigation Group or its agents in accordance with the terms and intent of this release. I also agree not to file or pursue any complaints, claims, or legal actions against the Expert Investigation Group or any of its employees, representatives, or agents arising out of their efforts to obtain work-related information about me.

    NOTE: A photocopy of this signed release shall be, for all intents and purposes, as valid as the original.

    You may retain this form for your records.

  • Date*
     - -

  • BACKGROUND QUESTIONNAIRE - APPLICATION ATTACHMENT

  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • The Expert Investigation Group maintains strict hiring guidelines that all applicants must satisfactorily meet or surpass in order to be considered for positions within protective services.

    The following questions address several of the areas covered in the hiring guidelines. Your responses will be verified during the background investigation process and pre-employment polygraph examination. Completed and honest responses are required. Any negative information contained within the information provided in the questionnaire will be evaluated to determine compliance with the Office’s hiring guidelines. Any false or misleading information identified during the background investigation process will result in the immediate disqualification of your employment application.

     

    Therefore, it is imperative that you answer all of these questions truthfully and to the best of your ability.

  • 1. Are you a citizen of the United States of America?*
  • 2. Did you graduate from High School or do you have a G.E.D. ?*

  • 3. List all trafic citations received within the past TEN years.

  • Date
     - -
  • Date
     - -
  • Date
     - -
  • Date
     - -
  • 4. In the past ten years, have you been involved as a driver in a motor vehicle accident?*
  • Date of Accident
     - -
  • Date of Accident
     - -
  • Date of Accident
     - -
  • 5. Has your driver's license ever been suspended and/or revoked for any reason?*
  • Date of Suspension
     - -
  • Date Reinstated
     - -
  • 6. Have you ever been convicted of or plead nolo to D.U.I.?*
  • Date
     - -
  • 7. Have you ever been convicted of or plead nolo to a Misdemeanor or Disorderly Persons offense?*
  • Date
     - -
  • 8. Have you ever been convicted of or plead nolo to a Felony offense?*
  • Date
     - -
  • 9. Have you ever enlisted or attempted to enlist in the military?*
  • While serving in the military, were you ever the subject of any court martials, Article 15, company punishment, or disciplinary action?
  • 10. Have you ever been suspended, terminated, or forced to resign from any place of employment?*
  • 11. Have you ever been disciplined for any reason by your present or past employer?*
  • 12. Do you have any commitments that would not allow you to work on various shifts, weekends, holidays, or other periods?*
  • 13. Have you ever committed any undetected crimes(crimes that you have not been arrested for)?*
  • 15. Have you ever been involved in the SALE, DISTRIBUTION, OR MANUFACTURE of any illegal drugs?*
  • 16. Have you ever consumed any drugs prescribed for another person*
  • 17. Have you ever used an illegal drug, to include but not limited to, marijuana, cocaine, heroin, angel dust/PCP, LSD/acid, or other hallucinogenic, crack opium, quaaludes, speed, crank, mushrooms/peyote, ecstasy/MDMA,Ice, hashish, steroids, crystal, methadone, morphine, valium, etc?*
  • DATE FIRST USED
     - -
  • DATE LAST USED
     - -
  • DATE FIRST USED
     - -
  • DATE LAST USED
     - -
  • DATE FIRST USED
     - -
  • DATE LAST USED
     - -
  • DATE FIRST USED
     - -
  • DATE LAST USED
     - -
  • 18. Have you ever consumed any alcoholic beverage or used any type of illegal drugs while working?*
  • 19. At this time, do you have any pending criminal charges against you, including but not limited to, traffic citations or domestic violence?*
  • 20. At this time, are you under subpoena or involved in any criminal or civil litigation either as plaintiff or defendant?*
  • Are you currently serving probation for any offense?
  • 21. ls there anything that you would like to tell us about yourself that you have not addressed to this point?*
  • 22. Have you been completely honest with us completing your application for employment and this questionnaire?*
  • Date Signed*
     - -

  • Answering “Yes” to any of the aforementioned questions will not necessarily result in your disqualification from the hiring process. Any intentional omissions or dishonesty in any documents submitted as part of your application or any other part of the hiring process, will be cause for immediate removal from further consideration.

  • Please attach copies of the following items with your application, if applicable

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  • Non-Disclosure Agreement

    This employee confidentiality agreement is made between [name employee] (hereon referred to as the "Employee") and the Expert Investigation Group, and its clients (hereon referred to as the "Employer").
     

    The Employee agrees to the terms of this agreement:

    1. The Employee acknowledges that, in the course of employment by the Employer, the Employee has, and may in the future, come into the possession of certain confidential information belonging to the Employer andlor its clients including but not limited to personally identifiable information (PII), trade secrets, customer lists, supplier lists and prices, pricing schedules, methods, processes, or marketing plans.

    2. The Employee hereby covenants and agrees that he or she will at no time, during or after the term of employment, use for his or her own benefit or the benefit of others, or disclose or divulge to others, any such confidential information.

    3. Upon termination of employment, the Employee will return to the Employer, retaining no copies, all documents relating to the Employers business including, but not limited to, photographs, reports, manuals, drawings, diagrams, blueprints, correspondence, customer lists, computer programs, and all other materials and all copies of such materials, obtained by the Employee during employment.

    4. Violation of this agreement by the Employee will entitle the Employer to an injunction to prevent such competition or disclosure, and will entitle the Employer to other legal remedies, including attorney's fees and costs.

    5. This agreement shall be governed by the laws of the State of New Jersey.

    6. If any part of this agreement is adjudged invalid, illegal or unenforceable, the remaining parts shall not be affected and shall remain in full force and effect.

    7. This agreement shall be binding upon the parties, and upon their heirs, executors, personal representatives, administrators and assignees. No person shall have a right or cause to cause of action arising out of or resulting from this agreement except those who are parties to it and their successors in interest.

    8. This instrument, including any attached exhibits and addenda, constitutes the entire agreement of the parties. No representation or promises have been made except those that are set out in this agreement. This agreement may not be modified except in writing signed by all the parties concerned.

  • Date*
     - -

  • SECURITY AGENCY EMPLOYEE’S STATEMENT
     

    Division of State Police

    Department of Law and Public Safety

    State of New Jersey

    All information entered on this form is considered to be offered as a sworn statement. Any misstatement of fact is reason for disqualification for employment, or may be punishable by law as per N.J.S. 2C:28-2, 2C:28-3 and 2C:28-7.
     

    No person shall be employed by any holder of a security agency license until such person to be employed shall have executed and furnished to such license holder the following statement, pursuant to the provisions of “The Security Officer Registration Act (SORA)” as amended by Chapter 134, Laws of 2004.

     

    The statement must be made in the handwriting of the person to be employed by the licensed security agency and must be retained by the security agency.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Date of Birth*
     - -

  • Birth Place

  • e. Are you a citizen of the United States?*
  • Have you filed your declaration of intention to become a citizen?

  • When and where?

  • Date
     - -

  • 2. Give your business or occupation engaged in for the five years immediately preceding the date of the filing of this statement with your employer, setting forth the place or places where such business or occupation was engaged in and the name or names of employers, if any, with dates thereof:

  • From      /  ,to  /           

  • From      /  ,to  /           

  • From      /  ,to  /           

  • From      /  ,to  /           

  • From      /  ,to  /           

  • 3. Have you been dismissed for cause in any employment?*
  • 4. Have any license or permit issued to you or applied for by you ever been denied, suspended or revoked anywhere?*
  • 5. Have you ever been convicted of buying or receiving stolen property, larceny or theft?*
  • 6. Have you ever been convicted of aiding escape from prison ?*
  • 7. Have you ever been convicted of making or possessing burglar's instruments?*
  • 8. Have you ever been convicted of unlawfully possessing, under the influence of, or distributing habit-forming narcotic drugs or any controlled dangerous substances?*
  • 9. Have you ever been convicted of illegally using, carrying, or possessing a pistol or other dangerous weapon?*
  • 10. Have you ever been convicted of unlawful entry of a building?*
  • 11. Have you ever been convicted of a crime of the first, second, third or fourth degree?*
  • 12. Have you ever been indicted for any crime or offense in this State or any other State or Territory?*
  • 13. Has any security agency license issued to you or to a partnership or corporation of which you were a member or officer, ever been revoked in this State or any other State or Territory because of conviction of any of the crimes or offenses specified in this section?*
  • 14. Have you ever been convicted of any other crime or offense?*
  • 15. Has this State or any other State or Territory ever denied any application submitted by you for license as a security officer because of any crime or offenses specified in the preceding questions?*

  • Employment Eligibility Verification

  • Date of Birth*
     - -
  • Format: 000-00-0000.
  • Format: (000) 000-0000.

  • I am aware that federal law provides for imprisonment andlor fines for false statements or use of false documents in connection with the completion of this form.

  • I attest, under penalty of perjury, that I am (check one of the following boxes):*
  • Expiration date
     - -
  • Aliens authorized to work must provide only one of the following document numbers to complete Form I-9:An Alien Registration Number/USCIS Number OR Form I-94 Admission Number OR Foreign Passport Number Select one
  • Today's Date*
     - -
  • Should be Empty: