Employment Application

MPS INVESTIGATIONS & GUARD SERVICES, INC
APPLICANT INFORMATION
Name*

First NameLast Name
M.I.*
Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
Email*
example@example.com
Birthday*

MonthDayYear
Date
Social Security No.*
Date Available*

MonthDayYear
Date
What position are you applying for?*
Are you a citizen of the United States?*

YesNo
If no, are you authorized to work in the U.S.?

YesNo
Have you ever worked for this company, or any of our companies?*

YesNo
If so, when?
Have you ever been convicted of a crime?*

YesNo
If yes, explain
Do you have a state issued Driver's License?*

YesNo
If yes, ID#
Do you have a valid Concealed Weapon or Firearm License?*

YesNo
If yes, ID#
Do you have a valid Class D Security License?*

YesNo
If yes, ID#
Do you have a valid Class G Security License?*

YesNo
If yes, ID#
High School*
Address*
From*
To*
Did you graduate?*

YesNo
Degree*
College
Address
From
To
Did you graduate?

YesNo
Degree
Other
Address
Did you graduate?

YesNo
From
To
Degree
REFERENCES
Please list TWO professional references.
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Address
Phone
PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
Starting Salary
Responsibilities
From

MonthDayYear
Date
To

MonthDayYear
Date
Reason for Leaving
May we contact your previous supervisor for a reference?

YesNo
Company
Phone
Address
Supervisor
Job Title
Starting Salary
Responsibilities
From

MonthDayYear
Date
To

MonthDayYear
Date
Reason for Leaving
May we contact your previous supervisor for a reference?

YesNo
Company
Phone
Address
Supervisor
Job Title
Starting Salary
Responsibilities
From

MonthDayYear
Date
To

MonthDayYear
Date
Reason for Leaving
May we contact your previous supervisor for a reference?

YesNo
MILITARY SERVICE
Branch
From

MonthDayYear
Date
To

MonthDayYear
Date
Rank at Discharge
Type of Discharge
If other than honorable, explain
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge. This application will be valid for ninety (90) days. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature*

Clear
Date*

MonthDayYear
Date
When complete sign and return, in person, email to hr@MPSENT.org or fax to 716-809-8128.
MPS INVESTIGATIONS GUARD SERVICES
AUTHORIZATION TO RELEASE INFORMATION
From
To
Address

Address

Street Address Line 2

City, StateState / Province

Zip code
I have applied for a position with MPS Investigations & Guard Services, Inc. I have been requested to provide information for their use in reviewing my background and qualifications. Therefore, I hereby authorize the investigation of my past and present work, character, education, military and employment qualifications. The release in any manner of all information by you is hereby authorized whether such information is of record or not, and I do hereby release all persons, agencies, firms, companies, etc., from any damages resulting from providing such information. This authorization is valid for 120 days from date below. Please keep this copy of my release request for your files. Thank you.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

MPS INVESTIGATIONS & GUARD SERVICES, INC

APPLICANT INFORMATION

REFERENCES

PREVIOUS EMPLOYMENT

MILITARY SERVICE

DISCLAIMER AND SIGNATURE

MPS INVESTIGATIONS GUARD SERVICES

AUTHORIZATION TO RELEASE INFORMATION