Security Application Form

  • Synergy Elite Security Application Form

    Synergy Elite Security Application Form

  • General Information

  • Format: (000) 000-0000.
  • Date of Birth*
     - -
  • Are you:
  • What days are you available for work?
  • What shift are you available for work?
  • Are you 18 years of age or older?*
  • Are you a U.S. citizen or approved to work in the United States?*
  • Will you consent to a mandatory controlled substance test?*
  • Do you have any friends, relatives, or acquaintances working for Synergy Elite Security?
  • Are you able to perform the essential functions of this position, with or without special accommodations?*

  • Background Information

  • Have you ever worked in law enforcement ?*
  • Are you a member of the Armed Services?*
  • Have you ever been charged with a crime, been convicted of it, or pleaded guilty to it?*
  • Have you ever been treated for a psychiatric disorder or are you currently taking antidepressants?*
  • Do you have any formal handgun training?*
  • Do you have reliable transportation?*

  • Employer 1

  • Date Employed (START)*
     - -
  • Date Employed (END)- If still employed leave blank
     - -
  • Format: (000) 000-0000.
  • Can we contact your previous employer?*

  • Reference Name

  • Format: (000) 000-0000.
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  • Please upload a copy of your valid G security license 

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  • Please upload a copy of your valid permit to carry arms.

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  • Are your security licenses up-to-date / valid?*
  • Date*
     - -

  • AT-WILL EMPLOYMENT
    The relationship between you and the Synergy Elite Security Services, is referred to as "employment at will". This means that your employment can be terminated at any time for any reason, with or without cause, with our without notice, by you or the Synergy Elite Security Services. No representative ofSynergy Elite Security Services, has authority to enter into an agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will", and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, expect for a written statement signed by you and either our Executive Vice-President/Chief Operations officer or the Company's President.

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