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
Format: (000) 000-0000.
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?
If no, are you authorized to work in the U.S.?
Have you ever worked for this company, or any of our companies?
If so, when?
Have you ever been convicted of a crime?
If yes, explain
Do you have a state issued Driver's License?
If yes, ID#
Do you have a valid Concealed Weapon or Firearm License?
If yes, ID#
Do you have a valid Class D Security License?
If yes, ID#
Do you have a valid Class G Security License?
If yes, ID#
High School
Address
From
To
Did you graduate?
Degree
College
Address
From
To
Did you graduate?
Degree
Other
Address
Did you graduate?
From
To
Degree
REFERENCES
Please list TWO professional references.
Full Name
Relationship
Company
Phone
Format: (000) 000-0000.
Address
Full Name
Relationship
Company
Phone
Format: (000) 000-0000.
Address
Full Name
Relationship
Address
Phone
Format: (000) 000-0000.
PREVIOUS EMPLOYMENT
Company
Phone
Format: (000) 000-0000.
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?
Company
Phone
Format: (000) 000-0000.
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?
Company
Phone
Format: (000) 000-0000.
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?
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
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
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