Security Employment Application Form

Today's Date*

MonthDayYear

Desired Salary*

Position Applying For

Armed OfficerUnarmed OfficerPost Certified Off Duty OfficerOffice Personnel (i.e sales, recruiting, etc)

Desired Status

Full timePart timeEither

Full Name*

First NameLast Name

Are you over 18 years of age?*

YesNo

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

If you have lived at the above location for less than a year, please provide us with your previous address:

Phone Number*

Area CodePhone Number

Mobile Phone

Area CodePhone Number

E-mail*

Guard License #

Method of transportation to work?

Question 1: Are you willing to work nights and weekends?

YesNo

Question 2: Security Guard duties require walking for long periods of time, guard is required to have reliable transportation, working cell phone, professional report writing, and be on time when on schedule. Will this be a problem for you?

YesNo

Question 3. Are you willing to work at any establishment you are assigned? (restaurants, offices, churches, etc)

Which of the following certifications do you have? Check all that apply.

All applicants will receive consideration for employment without regard to race, creed, color, national origin or any other non-merit factor. Note: The Grey Man Group may require that all employees submit and pass our drug screening and/or testing before they will be approved for employment. Background checks are conducted for all applicants. If you feel you will pass these requirements; please continue.

Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Type of Business

Supervisor

Phone Number

Area CodePhone Number

Start Date

MonthDayYear

End Date

MonthDayYear

Reason for leaving

Starting Hourly Wage

Ending Hourly Wage

Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Type of Business

Supervisor

Phone Number

Area CodePhone Number

Start Date

MonthDayYear

End Date

MonthDayYear

Reason for leaving

Starting Hourly Wage

Ending Hourly Wage

Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Type of Business

Supervisor

Phone Number

Area CodePhone Number

Start Date

MonthDayYear

End Date

MonthDayYear

Reason for Leaving

Starting Hourly Wage

Ending Hourly Wage

Were you in the U.S. Armed Forces?

YesNo

If yes, which branch?

Date Started

MonthDayYear

Date Ended

MonthDayYear

Total time in service

Highest Rank Achieved

Type of Discharge

Are you in the military reserves or National Guard?

YesNo

If yes, which branch?

How often do you have to report for duties?

CRIMINAL BACKGROUND INVESTIGATION AUTHORIZATION I do hereby certify that I have never been convicted of any criminal offense anywhere in the United States, except for the following:

Charge

City, State

Date

Disposition

Charge

City, State

Date

Disposition

Signature

HIGH SCHOOL

Name of School

City, State

Last Year Completed

Year Graduated

Diploma or Degree

COLLEGE

Name of School

City, State

Course of Study

Last Year Completed

Year Graduated

Diploma or Degree

TRADE OR PROFESSIONAL SCHOOL

Name of School

City, State

Course of Study

Last Year Completed

Year Graduated

Diploma or Degree

PERSONAL REFERENCES Do not use relatives or previous employers, Providing this information means that you are giving The Grey Man Group permission to contact all the references. Please provide three references.

Full Name

First NameLast Name

Phone Number

Area CodePhone Number

Full Name

First NameLast Name

Phone Number*

Area CodePhone Number

In 25 words or more, explain why you want to be employed with The Grey man Group.

PLEASE READ AND SIGN BELOW

This application shall be considered active for no more than 45 days after the date submitted. After that time applicants will be required to resubmit a new application. I have read and understand all sections of this employemnt application. All statements written by me are true and complete. I also understand that any false statements on this application or any future document I will be required to fill out, including but not limited to any and all The Grey Man Group forms I will be preparing in the course of my duties shall be considered sufficient cause for dismissal. I further understand that if employed by The Grey Man Group I will be required to abide by all their rules and procedures. Failure to do so could result in termination of my employment with The Grey Man Group. I understand that neither this document nor any other offer of employment from The Grey Man Group or its representatives constitute an employment agreement. I consent to the release of information about my ability and fitness for the position I have applied for by employers, schools, law enforcement agencies to investigate, personnel staffing and other authorized employees of The Grey Man Group.

Signature

Date:

MonthDayYear

Application For Employment

Previous Employment

Employer #1

Employer #2

Employer #3

MILITARY SERVICE RECORD

EDUCATION RECORD