Employment Application
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Social Security Number
*
Requested Start Date
*
-
Month
-
Day
Year
Date
Desired Salary
*
Position Applying For
*
Please Select
Armed Guard
Unarmed Guard
Traffic Control Only (Flagger)
Office Staff
Are you a US Citizen?
*
Yes
No
If no, are you authorized to work in the US?
Yes
No
Have you ever been arrested?
*
Yes
No
If yes, when?
Have you ever been convicted of a felony?
*
Yes
No
If yes, please explain:
Education Information
Name of high school attended:
Address
Start Year
End Year
Did you graduate?
Yes
No
College
Address
Start Year
End Year
Did you graduate?
Yes
No
Area of Study (Degree)
Other educational institute
Address
Start Year
End Year
Did you graduate?
Yes
No
Area of Study (Degree)
References
1. Full Name
*
Relationship
*
Company
Phone Number
*
Address
*
2. Full Name
*
Relationship
*
Company
Phone Number
*
Address
*
3. Full Name
*
Relationship
*
Company
Phone Number
*
Address
*
Previous Employment History
1. Company Name
*
Phone Number
*
Address
*
Supervisor Name
*
Job Title
*
Starting Salary
*
Responsibilities
*
Ending Salary
*
Start Month & Year
*
End Month & Year
*
Reason for leaving?
*
Can we contact this employer?
*
Yes
No
2. Company Name
Phone Number
Address
Supervisor Name
Job Title
Starting Salary
Ending Salary
Responsibilities
Start Month & Year
End Month & Year
Reason for leaving:
Starting Salary
Ending Salary
Responsibilities
Can we contact this employer?
Yes
No
3. Company Name
Phone Number
Address
Supervisor Name
Start Month & Year
End Month & Year
Reason for leaving:
Can we contact this employer?
Yes
No
Military Service
Branch
Start Month & Year
End Month & Year
Rank at discharge
Type of discharge
If other than honorable, please explain
Signature
*
Date
*
-
Month
-
Day
Year
Date
Please upload a CLEAR picture of your ID, Guard Card, Less Lethal Card, Commission Card etc. (FRONT & BACK)
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