City Center Security Initial Application for Employment
City Center Security provides equal employment consideration for all applicants without regard to race, sex, color, national origin, religion, veteran status, sexual orientation, gender identity, gender expression, transgender, age, disability, genetic information, or any other protected classification, in accordance with applicable federal, state and local laws.
Instructions
Take the time to fully and accurately complete this application. Do not enter "Refer to Resume" or similar. Enter N/A if a question does not apply to you.
Personal Information
Name
*
First Name
Last Name
Preferred Name
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What is your preferred method of communication during the hiring process?
Email
Phone
Are you authorized to work in the United States?
*
Yes
No
Are you at least 18 years of age?
*
Yes
No
Person Referred By
Agency Referred By
If Responding to Ad, Position Advertised
Have you previously submitted an application?
Yes
No
Previous Application Date
/
Month
/
Day
Year
Date
Name Used at Time of Previous Application
First Name
Last Name
Have you previously been employed by the Company?
Yes
No
Date of Previous Employment
/
Month
/
Day
Year
Date
Department of Previous Employment
Do you have relatives who work or have worked for the Company?
Yes
No
Relative #1 Name
Relationship
Relative #2 Name
Relationship
Which department are you applying to?
Security
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Desired Employment
What is your minimum salary requirement?
*
Is your salary requirement hourly or per year?
*
Please Select
Hour
Year
What is the first date you are available to work?
*
/
Month
/
Day
Year
Date
What is your desired work schedule?
*
Full-time
Part-time
Temporary
If Part-time, describe available dates/hours.
If Temporary, describe available period.
Are you available to work various shifts?
*
Yes
No
If your availability is limited, please explain.
Will you work overtime, if required?
*
Yes
No
If your ability to work overtime is limited, please explain.
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Formal Education and Training
Have you received a high school diploma or GED equivalent?
*
Yes
No
College, Technical or Vocational Schools
Provide the following information for each school you attended. If you did not receive a certificate or degree, enter the approximate number of semester hours for which you actually received credit.
School Name
School Address (City and State required)
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
What type of degree or certificate did you receive?
Please Select
Certificate
Diploma
Associates
Bachelors
Masters
Other
None
In what subject was your degree or certificate obtained?
What was your GPA?
School Name
School Address (City and State required)
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
What type of degree or certificate did you receive?
Please Select
Certificate
Diploma
Associates
Bachelors
Masters
Other
None
In what subject was your degree or certificate obtained?
What was your GPA?
School Name
School Address (City and State required)
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
What type of degree or certificate did you receive?
Please Select
Certificate
Diploma
Associates
Bachelors
Masters
Other
None
In what subject was your certificate or diploma obtained?
What was your GPA?
School Name
School Address (City and State required)
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
What type of degree or certificate did you receive?
Please Select
Certificate
Diploma
Associates
Bachelors
Masters
Other
None
In what subject was your degree or certifiacate obtained?
What was your GPA?
List each license and/or certificate you have been awarded (examples include EMT, pilot, etc.).
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Next
Employment History
Starting from today and working back, provide your employment history during the last TEN years. You must account for any gaps in employment by entering "Unemployed" and the dates, indicating the reason such as "In School" or "Looking for Work".
Employer #1 (Most Recent) Name
*
Employer #1 Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Employer #1 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer #1 Starting Position
Employer #1 Ending Position
Employer #1 Supervisor's Name
Employer #1 Dates of Promotions
Employer #1 Employment Status
Full-time
Part-time
Temporary
Other
Employer #1 Start Date
*
/
Month
/
Day
Year
Date
Employer #1 End Date
/
Month
/
Day
Year
Date
Briefly describe your primary duties with this Employer.
*
Explain your reason for leaving this Employer.
Are you currently employed by this Employer?
Yes
No
Are you eligible for rehire by this Employer
Yes
No
May we contact this Employer?
Yes
No
Back
Next
Employer #2 Name
Employer #2 Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Employer #2 Address
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Employer #2 Starting Position
Employer #2 Ending Position
Employer #2 Supervisor's Name
Employer #2 Dates of Promotions
Employer #2 Employment Status
Full-time
Part-time
Temporary
Other
Employer #2 Start Date
/
Month
/
Day
Year
Date
Employer #2 End Date
/
Month
/
Day
Year
Date
Briefly describe your primary duties with this Employer.
Explain your reason for leaving this Employer.
Are you currently employed by this Employer?
Yes
No
Are you eligible for rehire by this Employer
Yes
No
May we contact this Employer?
Yes
No
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Next
Employer #3 Name
Employer #3 Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Employer #3 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer #3 Starting Position
Employer #3 Ending Position
Employer #3 Supervisor's Name
Employer #3 Dates of Promotions
Employer #3 Employment Status
Full-time
Part-time
Temporary
Other
Employer #3 Start Date
/
Month
/
Day
Year
Date
Employer #3 End Date
/
Month
/
Day
Year
Date
Briefly describe your primary duties with this Employer.
Explain your reason for leaving this Employer.
Are you currently employed by this Employer?
Yes
No
Are you eligible for rehire by this Employer
Yes
No
May we contact this Employer?
Yes
No
Please remember to include TEN years' employment history.
You must account for any gaps in employment by entering "unemployed" and the dates. You should indicate the reason, such as "in school" or "looking for work", in the primary duties field.
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Next
Employer #4 Name
Employer #4 Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Employer #4 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer #4 Starting Position
Employer #4 Ending Position
Employer #4 Supervisor's Name
Employer #4 Dates of Promotions
Employer #4 Employment Status
Full-time
Part-time
Temporary
Other
Employer #4 Start Date
/
Month
/
Day
Year
Date
Employer #4 End Date
/
Month
/
Day
Year
Date
Briefly describe your primary duties with this Employer.
Explain your reason for leaving this Employer.
Are you currently employed by this Employer?
Yes
No
Are you eligible for rehire by this Employer
Yes
No
May we contact this Employer?
Yes
No
Back
Next
Employer #5 Name
Employer #5 Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Employer #5 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer #5 Starting Position
Employer #5 Ending Position
Employer #5 Supervisor's Name
Employer #5 Dates of Promotions
Employer #5 Employment Status
Full-time
Part-time
Temporary
Other
Employer #5 Start Date
/
Month
/
Day
Year
Date
Employer #5 End Date
/
Month
/
Day
Year
Date
Briefly describe your primary duties with this Employer.
Explain your reason for leaving this Employer.
Are you currently employed by this Employer?
Yes
No
May we contact this Employer?
Yes
No
Are you eligible for rehire by this Employer
Yes
No
Back
Next
Employer #6 Name
Employer #6 Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Employer #6 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer #6 Starting Position
Employer #6 Ending Position
Employer #6 Supervisor's Name
Employer #6 Dates of Promotions
Employer #6 Employment Status
Full-time
Part-time
Temporary
Other
Employer #6 Start Date
/
Month
/
Day
Year
Date
Employer #6 End Date
/
Month
/
Day
Year
Date
Briefly describe your primary duties with this Employer.
Explain your reason for leaving this Employer.
Are you currently employed by this Employer?
Yes
No
Are you eligible for rehire by this Employer
Yes
No
May we contact this Employer?
Yes
No
Back
Next
Employer #7 Name
Employer #7 Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Employer #7 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer #7 Starting Position
Employer #7 Ending Position
Employer #7 Supervisor's Name
Employer #7 Dates of Promotions
Employer #7 Employment Status
Full-time
Part-time
Temporary
Other
Employer #7 Start Date
/
Month
/
Day
Year
Date
Employer #7 End Date
/
Month
/
Day
Year
Date
Briefly describe your primary duties with this Employer.
Explain your reason for leaving this Employer.
Are you currently employed by this Employer?
Yes
No
Are you eligible for rehire by this Employer
Yes
No
May we contact this Employer?
Yes
No
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Next
Certification Statement
I hereby certify by my signature that my sole purpose for completing this application is to pursue employment consideration with this Company. I have fully completed this application and provided accurate responses to the best of my ability. I understand that I may be disqualified from further consideration, or if hired, terminated should the Company determine any information is incomplete and/or inaccurate, whether the error or omission was intentional or otherwise. If hired, my employment and compensation will be on an "at will" basis, which means my employment status can be adjusted or terminated by either myself of the Company without further notice at any time. I fully understand that no recruiter, interviewer, or Company representative other than the Company's President or Vice President has the authority to enter into an agreement with me, written or verbal, for any specified period of employment or guaranteed salary. I affirm that I have fully read and understand this Certification Statement.
Signature
*
Use your cursor to sign.
Date
*
/
Month
/
Day
Year
Date
Submit
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