Sanjac Employment Application

Employment Application Form:

Applicants are considered for all positions without regard to race, color, sex, national origin, age, marital or veteran status, or presence of a non-job related medical condition or handicap.
Personal Information:
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Apt, Suite, Bldg.

CityState / Province

Postal / Zip CodeCountry
Social Security Number*
Drivers License Number*
Drivers License State*
Cell Phone Number*

Area CodePhone Number
Home Phone Number

Area CodePhone Number
E-mail
Required Questions:

This information is required for State Security Licensing.
YesNo
Date of Birth*

MonthDayYear
Place of Birth*
YesNoImmigrant work Visa
YesNo
Height*
Feet, Inches
Weight*
Eye Color*
Hair Color*
MarriedSingleDivorcedWidowed
Number of Dependants*
Employment Details
YesNo
YesNo
YesNoLaid OffLaid Off/Subject to recall
YesNo
YesNoDishonorable discharge
Employment Desired:
Security OfficerDispatchAny Available
Date You Can Start

MonthDayYear
Full timePart timeTemporary
All ShiftsDaysNightsWeekdaysWeekendsHolidaysShift Work
Referral Source
How did you find us? If by a current employee, please provide their name.
Criminal History:
YesNo
YesNo
YesNo
If you answered yes to any of the above questions, please provide information about the arrest and dates.
Education:
High School
Name of High School Attended
Number of Years Attended
YesNo
College
Name of College/University Attended
Number of Years Attended
YesNo
Area of Study/Degree
Trade School/Other
Name of Trade/Technical/Other School Attended
Number of Years Attended
Yes
Area of Study/Degree
Skills/Qualifications:
Please list any Current or recent Security Licenses
Put n/a if not applicable to you
Please list any relevant Security Officer Training
Put n/a if not applicable to you
List any Foreign Languages you are fluent in
put n/a if not applicable to you
Skills and Qualifications
Summarize or List any relevant skills, certifications or other qualifications from employment or other experience.
Employment History:
Current or most recent Employer
If not currently employed please type none
Position
Salary
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
Date
YesNo
Previous Employer
Name of Previous Employer
Position
Salary
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
Previous Employer
Name of Previous Employer
Position
Salary
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
References:

Please give references that are not related to you.
Reference 1
Name of Reference
Phone
Email
Reference 2
Name of Reference
Phone
Email
Reference 3
Name of Reference
Phone
Email
Emergency Contact

Give Name, address, & phone number of your nearest relative not living with you.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Authorization:
By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.

I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.
YesNo
Signature
Should be Empty:

Employment Application Form:

Personal Information:

Required Questions:

Employment Details

Employment Desired:

Criminal History:

Education:

Skills/Qualifications:

Employment History:

References:

Emergency Contact

Authorization: