Prominence Security

Employment Application Form

Please read carefully before beginning the application.
1. All applicable sections must be completed. Any non applicabe sections must be marked "NA"

2. List the area of employment and the title for the position you are seeking. Example "Armed Security Officer Baltimore Maryland" or "Industrial Firefighter Baytown Texas"
I have read and understand the instructions for this application.*

Yes
Please press "Next" when you're ready to begin

APPLICANT INFORMATION
Name*

First NameMiddle NameLast Name
Other Names Used (alias, maiden, nickname)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Driver’s License Number *
State Issued*
List all Residence Address in Past Seven Year (attach additional sheets if necessary)
Dates from

MonthDayYear
Date
Dates to

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates from

MonthDayYear
Date
Dates to

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates from

MonthDayYear
Date
Dates to

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PLEASE SUPPLY THE FOLLOWING SCHOOL INFORMATION (HIGHEST DEGREE EARNED):
Name at the time of graduation*

First NameLast Name
School*
City/State*
Degree*
Graduation Date*

MonthDayYear
Date
Major
Signature of applicant*

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Today's Date*

MonthDayYear
Date

EMPLOYEE INFORMATION
Name*

First NameLast Name
SSN*
Position*
Date of Hire

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home phone number
Please enter a valid phone number.
Cell phone number
Please enter a valid phone number.
Drivers License Number*
Date of Birth*

MonthDayYear
Date
Are you a U.S Citizen?*

YesNo
In Case of Emergency
Emergency Contact 1 Name*

First NameLast Name
Relationship*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home/Cell*
Please enter a valid phone number.
Emergency Contact 2 Name

First NameLast Name
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home/Cell
Please enter a valid phone number.
Please read carefully
I understand it is my responsibility to notify the company of any change of address or other pertinent information.
Signature*

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Date*

MonthDayYear
Date

Form W-4 Employee’s Withholding Certificate
▶ Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
▶ Give Form W-4 to your employer.
▶ Your withholding is subject to review by the IRS.
Step 1: Enter Personal Information
(a) Name*

First NameLast Name
(b) Social Security Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please Select One*

Single or Married filing separatelyMarried filing jointly (or Qualifying widow(er))Head of household (Check only if you’re unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can
claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.

Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3–4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. (Provided Below) Do the same on Form W-4 for the other job. This option is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld.
Check if option (C) Pertains to you

Yes
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.
Complete Steps 3–4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will
be most accurate if you complete Steps 3–4(b) on the Form W-4 for the highest paying job.)
Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000. Enter the amount below.
$
Multiply the number of other dependents by $500. Enter the amount below.
$
Add the amounts above and enter the total here
$
Step 4(optional): Other Adjustments
(a) Other income (not from jobs). If you want tax withheld for other income you expect this year that won’t have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income
(b) Deductions. If you expect to claim deductions other than the standard deductionand want to reduce your withholding, use the Deductions Worksheet on page 3 andenter the result here
(c) Extra withholding. Enter any additional tax you want withheld each pay period
If you need additional information on how your W-4 should be completed, please contact your accountant or visit www.IRS.gov for further information and instructions.
Step 5: Sign Here
Signature*

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Date*

MonthDayYear
Date

Employment Eligibility Verification

Department of Homeland Security U.S. Citizenship and Immigration Services
►START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically,
during completion of this form. Employers are liable for errors in the completion of this form.
ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) an
employee may present to establish employment authorization and identity. The refusal to hire or continue to employ an individual because the
documentation presented has a future expiration date may also constitute illegal discrimination
Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form I-9 no later than the first day of employment, but not before accepting a job offer.)
Name*

First NameMiddle NameLast Name
Other Last Names Used (If any)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of birth*

MonthDayYear
Date
U.S Social Security Number*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in
connection with the completion of this form.
I attest, under penalty of perjury, that I am (check one of the following boxes):*

1. A citizen of the United States2. A noncitizen national of the United States (See instructions)3. A lawful permanent resident. (See instructions below)4. An alien authorized to work. (See instructions below)
For Option 3. please provide your Alien Registration Number/USCIS Number
For Option 4. An alien authorized to work until (expiration date, if applicable, mm/dd/yyyy)

MonthDayYear
Some aliens may write "N/A" in the expiration date field. (See instructions)
Aliens authorized to work must provide only one of the following document numbers to complete Form I-9:
An Alien Registration Number/USCIS Number OR Form I-94 Admission Number OR Foreign Passport Number.
1. Alien Registration Number/USCIS Number
2. Form I-94 Admission Number
3. Foreign Passport Number
Country of Issuance
Signature*

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Date*

MonthDayYear
Date
Preparer and/or Translator Certification
Preparer and/or Translator Certification (check one):

I did not use a preparer or translator.A preparer(s) and/or translator(s) assisted the employee in completing Section 1.
(Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.)
I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my
knowledge the information is true and correct.
Signature of Preparer or Translator

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Date

MonthDayYear
Date
Name of preparer or translator

First Name (Given Name)Last Name (Family Name)
Address of preparer or translator

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

LISTS OF ACCEPTABLE DOCUMENTS (All documents must be UNEXPIRED)

Employees may present one selection from List Aor a combination of one selection from List B and one selection from List C.
ID/Drivers License*

Cancelof
Social Security Card*

Cancelof
If you have a current Police, Security license card, please upload it here.
Denver Merchant guard license/security license

Cancelof
Examples of many of these documents appear in the Handbook for Employers (M-274).
Refer to the instructions for more information about acceptable receipts.

Employment Application Form

APPLICANT INFORMATION

List all Residence Address in Past Seven Year (attach additional sheets if necessary)

PLEASE SUPPLY THE FOLLOWING SCHOOL INFORMATION (HIGHEST DEGREE EARNED):

Employment Application

Please check Yes or No to the following.

Work Experience

PLEASE LIST YOUR WORK EXPERIENCE BELOW (MOST RECENT JOB FIRST)

Education

Professional Designations

Professional Licenses

Please list three professional references.

PLEASE READ CAREFULLY BEFORE SIGNING APPLICATION

EMPLOYEE INFORMATION

In Case of Emergency

Please read carefully

Form W-4 Employee’s Withholding Certificate

Step 1: Enter Personal Information

Step 2: Multiple Jobs or Spouse Works

Step 3: Claim Dependents

Step 4(optional): Other Adjustments

If you need additional information on how your W-4 should be completed, please contact your accountant or visit www.IRS.gov for further information and instructions.

Step 5: Sign Here

Employment Eligibility Verification

Preparer and/or Translator Certification

LISTS OF ACCEPTABLE DOCUMENTS (All documents must be UNEXPIRED)

If you have a current Police, Security license card, please upload it here.

Employee Direct Deposit Enrollment Form

Account Information