• Golden Empire Security, Inc. is an equal opportunity employer. This application will not be used to limit or exclude any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative. Please complete all sections below

  • Applicant Information

  • Date
     - -
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Employment Position

  • Position(s) applying for:
  • What days are you available to work?
  • What hours or shift are you available to work?
  • If needed, are you able to work holidays and overtime?
  • Do you have reliable transportation to and from work?

  • Personal Information

  • Have you ever applied to or worked for Golden Empire Security, Inc. before?

  • Personal Information:

    (continued
  • Do you have any friends, relatives, or acquaintances working for Golden Empire Security, Inc.?
  • Are you eligible to work in the United States?
  • Are you at least 18 years old? (If applicant is under 18, applicant is subject to verification that they are of minimum legal age)
  • Are you able to perform the essential functions of the job for which you are applying for, either with or without reasonable accommodation?

  • Job Skills/Qualifications

  • Education and Training

  • Did you graduate?
  • Did you graduate?
  • Did you graduate?

  • Military

  • Are you a member of the Armed Services?

  • Previous Employment

    List below all present and past employment, starting with your most recent employer (last five).years is sufficient). You must complete this section even if you are attaching a resume.
  • From:
     - -
  • To:
     - -
  • Current Employer?
  • May we contact this employer for a reference?
  • From:
     - -
  • To:
     - -
  • Current Employer?
  • May we contact this employer for a reference?
  • From:
     - -
  • To:
     - -
  • Current Employer?
  • May we contact this employer for a reference?

  • References

    List below three persons not related to you who have knowledge of your work performance within the last 3 years

  • Additional Information

  • Do you possess a Valid CA Guard Card?
  • Do you possess a Valid Baton, OC/Chemical Agents and/or Exposed Firearms Permits?
  • Are you CPR Certified?

  • Please Read Carefully, Initial Each Paragraph and Sign Below

  • I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for
    employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the
    undersigned applicant, have personally completed this application. I understand that any omission or misstatement of
    material fact on this application or on any document used to secure employment shall be grounds for rejection of this
    application or for the immediate discharge if I am employed, regardless of the time elapsed before discovery.

  • I hereby authorize Golden Empire Security, Inc. to thoroughly investigate my references, work record,
    education and other matters related to me suitability for employment (excluding criminal background information) unless
    otherwise specified above. I further authorize the references I have listed to disclose to the company any and all letters,
    reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I
    hereby release the Company, my former employers and all other persons, corporations, partnerships, and associations
    from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

  • I understand that nothing contained in the application or conveyed during any interview which may be granted
    or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition,
    I understand and agree that if I am employed, my employment is for no definite or determinable period and may be
    terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or
    representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the
    Company’s designated representative.

  • In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the
    United States and to complete the required employment eligibility verification document form upon hire.

  • The Company will consider qualified applicants, including those with criminal histories, in a manner consistent with state and local “Fair Chance” laws.

  • Date
     - -
  •  
  • Should be Empty: