ESI Employment Application Form

Name:*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number:*

Area CodePhone Number

E-mail Address:

Birth Date*

MonthDayYear

Date Available

Date

YesNoNo, but authorized to work in the US

NoYes, Explain below

Upload Resume:

Upload a File

Job Skills & Training

Describe your skills:

Current/Previous Employer

Dates Employed

Job Title

AddressCity/State

Phone Number

Responsibilities

YesNo

Previous Employer

Dates Employed

Job Title

AddressCity/State

Phone Number

Responsibilities

YesNo

Training or Certifications:

References Please list three (3) references that are familiar with your work life.

Reference 1

Name:

First NameLast Name

Phone Number

Area CodePhone Number

Years Known:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Reference 2

Name:

First NameLast Name

Phone Number

Area CodePhone Number

Years Known:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Reference 3

Name:

First NameLast Name

Phone Number

Area CodePhone Number

Years Known:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I certify that all information provided is true and complete to the best of my knowledge.

If this application leads to employment, I understnad that false or misleading information will result in my immediate termination from this company.

Applicant hereby certifies that the answers to the foregoing questions are true and correct. I agree if the information is found to be false in any respect, including omission of information, I will be subject to be dismissal without notice. I authorize to investigate all information in this application. I hereby authorize my former employers to release information pertaining to my work record, habits and performance.

I understand that additional background investigation may be necessary for certain positions. I understand that all further communications related to the hiring process will be conducted in English. Should I become an employee of The Elijah Security Intelligence and Investigation LLC, I understand that my employment will be for no definite term, and that I will have the right to terminate my employment at any time, at my convenience, with or without cause or reason.

I further understand that The Elijah Security Intelligence & Investigation LLC will have the same right. I understand that I am expected to comply with all company rules and regulations, but that such rules do not create a contract between the company and me. I understand and agree that any handbook I receive will not constitute an employment contract, but will be a statement of the company’s current policies.

I understand before any offer of employment is finalized, I will be required to submit to a urine drug screen and a background check. The drug screen will be conducted at a company-selected facility, at the company’s expense. If the test results demonstrate the presence of illegal drugs or non-prescribed controlled substances. I understand that I will not be permitted to commence work for the company, or I will be terminated if I have already commenced work.

Signature*