Website Job Application Form

Mercury Group Security Services
Phone: (437) 887-0857 ext. 1003

E-mail: info@mercurygroup-ss.com
Application Form
Qualified applicants are considered for all positions without discrimination based on race, color, religion, sex, national origin, marital status or disability.

All fields containing (*) must be filled completely otherwise application will be considered incomplete and will not be processed for consideration.
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Zip CodeCountry
Email Address*
example@example.com
Mobile Phone Number*
Home Phone Number
Gender*

MaleFemalePrefer not to say
Marital Status*

SingleMarriedOther
Birth Date*

MonthDayYear
Position applied for*

Event GuardSupervisorSecurity ConciergeStatic GuardPatrol GuardSchedulerManagementClose Protection/ BodyguardDriverOther
Residential Status*
Do you have a SIN card?*

YesNo
Is there a limit on your SIN for how many hours you may work per week?*

YesNo
Security Guard License Expiry Date*

MonthDayYear
Date
Are you currently licensed as a Security Guard within the province?*

YESNO
Are you currently working for another security company?
If so, please specify company name
Do you currently hold an active Smart Serve Certificate?*

YESNO
Have you previously applied with us?*

YESNO
Do you currently hold an active CPR certificate?*

YESNO
Are you available to work?*

Full TimePart TimeTemporaryOther
Available start date?*

MonthDayYear
Date

Note: For full-timers (availability must be weekdays, weekends, public holidays, morning, night & afternoon shifts) For part-timers (fill the chart below. Days: anytime between 06:00 – 19:00, afternoons: anytime between 14:00 – 23:59, nights: anytime between 22:00 – 09:00

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Morning
Afternoon
Night

Driving information
Do you have a drivers license? If so, you'll be ask to upload a copy at the end of this application form*

YESNO
Do you own or have regular access to a vehicle to get back and forth to and from work? If so, you'll be ask to upload details below*

YESNO

Vehicle details

	Make	Model	License Plate No.	Color
Car # 1
Car # 2
Car # 3

Education
Highest level of education completed?*
Do you have a secondary school diploma?*
Have you completed a College, University or technical school program?*
Have you completed any training courses relative to the security industry? If yes, please provide details below*

YESNO
Training courses details
Security Experience and References
Company Experience # 1
Security Company Name
Supervisor Name
Supervisor Work Phone Number
Please enter a valid phone number.
Hourly Rate
Work / Site / Property Name
Category (Condo, Truck Yard, etc)
List duties performed
Work Start Date

MonthDayYear
Date
Work End Date

MonthDayYear
Date
Work end reason

Company Experience # 2
Security Company Name
Supervisor Name
Supervisor Work Phone Number
Please enter a valid phone number.
Hourly Rate
Work / Site / Property Name
Category (Condo, Truck Yard, etc)
List duties performed
Work Start Date

MonthDayYear
Date
Work End Date

MonthDayYear
Date
Work end reason

Company Experience # 3
Security Company Name
Supervisor Name
Supervisor Work Phone Number
Please enter a valid phone number.
Hourly Rate
Work / Site / Property Name
Category (Condo, Truck Yard, etc)
List duties performed
Work Start Date

MonthDayYear
Date
Work End Date

MonthDayYear
Date
Work end reason

Emergency Contacts
Emergency Contact # 1
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number.
Emergency Contact Relationship*

Emergency Contact # 2
Emergency Contact Name

First NameLast Name
Emergency Contact Number
Please enter a valid phone number.
Emergency Contact Relationship

Emergency Contact # 3
Emergency Contact Name

First NameLast Name
Emergency Contact Number
Please enter a valid phone number.
Emergency Contact Relationship

Upload required documents
Upload Guard License (front)*

Cancelof
Upload Guard License (back)*

Cancelof
Government issued photo ID (front)*

Cancelof
Government issued photo ID (back)*

Cancelof
Resume*

Cancelof
References

Cancelof
Additional Certificates and Licenses

Cancelof
Please verify that you are human*
Should be Empty:

Mercury Group Security Services

Application Form

Driving information

Education

Security Experience and References

Company Experience # 1

Emergency Contacts

Emergency Contact # 1

Upload required documents