Website Job Application

Notice: Lloyd Security requires that applicants present themselves in person and personally complete and sign at our office (or specified project or job site hiring office) the Employer’s original employment application form and will not accept photocopied, mailed, faxed, e-mailed or third-party applications or unsolicited employment referrals from any source.

Lloyd Security is an equal employment opportunity employer and will not discriminate against any applicant or employee on any grounds protected under federal, state, or local statute, ordinance or regulation, including race, color, creed, religion, age, sex, sexual orientation, national origin, ancestry, marital status, pregnancy, disability (including those related to pregnancy or childbirth), status with regard to public assistance, membership or non-membership in a labor organization, military, National Guard or reserve service, complaining in good faith to the Employer or to a public authority, or any other characteristic or activity protected under federal, state or local statue, ordinance or regulation. None of the questions in this application are intended to elicit information regarding any protected characteristics, nor imply any limitation, illegal
preferences or discrimination based upon non-job-related information or protected characteristics.

If you hired by Lloyd Security you will be employed on an at-will basis. As an at-will employee, you may terminate your employment at any time, for any reason, with or without cause, notice or prior warning. Similarly, if you are hired, Lloyd Security will have the right to terminate your employment at any time, for any reason, with or without cause, notice or prior warning or discipline. No Lloyd Security supervisory or manager has the authority to offer or promise anything other than at-will employment, and no subsequent transfer, promotion or change in your employment will affect your at-will employment status.

I Have Read and Agreed to the Above:*

Yes

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Answer ALL Questions Completely - Be sure to Complete ALL Questions!

Position Applied For

Date of Application

Full Name (First Middle Last)

Have you ever used another name or alias in your previous employment or education, or in connection with a criminal conviction or plea?

YesNo

If Yes, What?

Present Address

Permanent Address

Type a question

Home Phone No

If hired, can you furnish proof that you are 18 years of age, or older?

YesNo

If No, Explain

Have you applied for work or worked at our Company before?

YesNo

If yes, when, what position, and reason for leaving?

Are you available to work at any time of the day or week as needed?

YesNo

If not please explain any work scheduling limitations

Date You Can Start

Desired Wage or Salary $

IF YOU WISH TO BE CONSIDERED FOR POSITIONS THAT REQUIRE DRIVING, PLEASE ANSWER THESE QUESTIONS:

Do you have a current, valid and unrestricted driver’s license(s)?

YesNo

If yes, what class of license(s) and which state(s)?

Please provide education information if you wish to be considered now or in the future for a supervisory or office position:

Elementary

Name:

Number of Years:

Did You Graduate?

Major

High School

Name:

Number of Years:

Did You Graduate?

Major

College

Name:

Number of Years:

Did You Graduate?

Major

Trade

Name:

Number of Years:

Did You Graduate?

Major

Business

Name:

Number of Years:

Did You Graduate?

Major

Have you served in the Military?

YesNo

If Yes, which Branch, rank and nature of discharge?

Briefly describe any military training or experience related to position applied for

Have you ever worked in a position similar to the one for which you are applying for?

If experienced in using tools or equipment which might be helpful on this job, or if you hold a state journeyman or any relating public or private licenses, certifications or competency cards, please provide details, including issuing authority and any license or other numbers

Where have you gained this experience?

Are you acquainted with anyone who is or was employed by our Company?

YesNo

If yes, who, and who do you know them?

WORK HISTORY—List all employers during last ten years, with present or last employer first.

Employee #1

Employee Name

Employee Address

Employee Phone Number

Position

Duties

Employment Type

Full TimePart Time

Final Pay Rate

Supervisors Name & Title

Starting Date

Ending Date

Reason for Leaving

Employee #2

Employee Name

Employee Address

Employee Phone Number

Position

Duties

Employment Type

Full TimePart Time

Final Pay Rate

Supervisors Name & Title

Starting Date

Ending Date

Reason for Leaving

Employee #3

Employee Name

Employee Address

Employee Phone Number

Position

Duties

Employment Type

Full TimePart Time

Final Pay Rate

Supervisors Name & Title

Starting Date

Ending Date

Reason for Leaving

Employee #4

Employee Name

Employee Address

Employee Phone Number

Position

Duties

Employment Type

Full TimePart Time

Final Pay Rate

Supervisors Name & Title

Starting Date

Ending Date

Reason for Leaving

Employee #5

Employee Name

Employee Address

Employee Phone Number

Position

Duties

Employment Type

Full TimePart Time

Final Pay Rate

Supervisors Name & Title

Starting Date

Ending Date

Reason for Leaving

List the dates for any periods of Unemployment

How did you spend this time? (Please do not provide any specific information related to medical conditions.)

Have you ever been fired, laid off or asked to resign by an employer?

YesNo

If yes, please explain

May we contact the employers listed above?

YesNo

If no, please explain

Are you on layoff status and eligible for recall or eligible for referral for hire by a hiring hall or employment service?

YesNo

Lloyd Security requires that its employees be available for work throughout Minnesota and beyond as work requires. Are you prepared to work, including overnight stays on occasion, wherever Lloyd Security may assign you?

YesNo

If no, please explain

Lloyd Security requires that each employee purchase a specified set of tools as a condition of employment. Each individual employee is responsible for having access to these tools each day, and the employee is responsible for transporting his/her own tools to each project or job site. Are you willing to purchase such tools and do you have a valid drivers license and access to a vehicle sufficient to transport tools to and between job sites on a daily basis?

YesNo

If no, please explain

Do you plan to work for any other employer or engage in self-employment during your period of employment with Lloyd Security?

YesNo

If yes, please explain

Are there any employer policies, requirements, terms or conditions of employment or types of work which you are unwilling to accept if you are offered employment?

YesNo

If yes, please explain

Have you ever worked in our industry at any time not listed above?

YesNo

If yes, please explain

You may be asked to provide a medical history, submit to a drug and/or alcohol test, background check and/or physical/medical examination if you are made a conditional offer of employment. Are you willing to do so?

YesNo

Lloyd Security has policies on sexual harassment and equal employment opportunity, policies which require employees to perform all assigned work and mandatory overtime, policies requiring wage or salary deduction authorizations by employees for employer property, debts or monies not returned or repaid, an at-will employment policy, solicitation and distribution policies and policies requiring employees to observe all standards of conduct, policies and work rules of Lloyd Security, and for certain employees, confidentiality, non-solicitation and/or non-competition agreement requirements. Do you agree, if hired, to comply with these and all other current of subsequently adopted Lloyd Security policies and requirements?

YesNo

If not, please explain

ACKNOWLEDGMENT: PLEASE READ AND ACKKNOWLEDGE

By checking 'Yes' below, I promise that the information provided in this employment application (and any related information provided by me) is true and complete, and I understand that any false or misleading information or significant omissions may disqualify me from further consideration for employment, and may lead to my dismissal from employment, if discovered at a later date, no matter how long I have been employed. I agree to immediately notify Lloyd Security if I should be convicted or plead guilty to any crime while my job application is pending, or during my period of employment if hired by Lloyd Security. I understand that Lloyd Security has policies that can disqualify me for employment in certain positions with a particular criminal history background.

I authorize Lloyd Security (the “Employer”) to obtain and/or to provide any and all information and opinion which the Employer elects to obtain, use or provide in
connection with my application for employment and/or any employment with the Employer, prior to, during and after my employment. Such information and opinion may be sought from any and all prior employers (except as noted above), schools or other persons or organizations who may have information the Employer deems relevant in connection with my application for employment and during my employment, and may be provided by the Employer in response to any request for information and opinion concerning my employment or my separation from employment with the Employer, to any and all banks, or mortgage companies, governmental agencies, insurers, prospective employers or other schools, persons or organizations deemed appropriate for receipt of such information by the Employer. I understand that the Employer may provide any and all information and opinion, which may include, but are not limited to, opinions about my conduct, performance, attendance, or any other aspect of my reputation or character, which may be positive or negative. I agree to hold the Employer (including its principals, employees, agents consultants, attorneys and insurers) and any such other employer, school, person or organization providing or receiving any such information and opinions, harmless and free of any and all claims or causes of
action arising from any such provision or receipt of information and opinion, no matter what its character.

I UNDERSTAND THAT THIS APPLICATION DOES NOT CREATE A CONTRACT OF EMPLOYMENT. I UNDERSTAND THAT, IF HIRED, I AM OBLIGATED TO COMPLY WITH ANY AND ALL CURRENT AND SUBSEQUENTLY ADOPTED LLOYD SECURITY POLICIES AND THAT LLOYD SECURITY DOES NOT OFFER CONTRACTS, PROMISES OR REPRESENTATIONS RELATED TO EMPLOYMENT. I UNDERSTAND AND AGREE THAT, IF HIRED, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD OF TIME, AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF WAGES OR SALARY, BE TERMINATED AT ANY TIME FOR ANY REASON, WITH OR WITHOUT CAUSE, NOTICE OR PROIR WARNING OR DISCIPLINE. I UNDERSTAND THAT NO PERSON IS AUTHORIZED TO CHANGE ANY OF THE TERMS MENTIONED IN THIS EMPLOYMENT APPLICATION.

Have You Read and Understood the Above?*

Yes

Type Your Name:

Today's Date

Application for Employment