Security Guard: Application Form

Application Form

Please fill out each question fully and to the best of your abilities.
- Today's Date
  
  MonthDayYear
  Date
- Full Name*
  
  First NameLast Name
- Do You Speak English?
- Phone Number*
  
  Area CodePhone Number
- E-mail*
  myemail@example.com
- Present Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- My present address is the same as my permanent address where i can receive my paystubs and tax forms.*
  
  YesNo
- Permanent Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- D Security License #*
  If you do not have your license yet but have a Blue Card, Type Blue Card
- G Security License #
  If you don't have a G License please enter N/A
- D Security License
  
  Upload Picture
  Upload your Security D and/or G License Cancelof
- Do you have reliable transportation?
  
  YesNo
- Position Applied For*
- Date you can start
  
  MonthDayYear
- If armed, can you provide your own firearm?
  
  YesNo
- Availability (please select all that apply)*
  
  Day ShiftSwing ShiftOvernightWeekdaysWeekends
- Shirt Size
- How did you hear about this position?
- Referred By:
  ex. Craigslist, Current Employee Name etc
- Please state your previous employers from most recent to least recent.
- Employed From*
  
  MonthDayYear
- -
- Employed To*
  
  MonthDayYear
- Employer Name*
- Supervisor Name*
- Hourly
- Position
- Reason for leaving
- Employed From*
  
  MonthDayYear
- -
- Any Additional Information
- Electronic Signature*
  
  First NameLast Name
- Application Completed*
  
  MonthDayYear
- I HAVE COMPLETED THIS APPLICATION TRUTHFULLY AND TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT IF I HAVE BEEN UNTRUTHFUL ON ANY OF THESE QUESTIONS IT WILL MAKE ME INELGIBLE FOR CONSIDERATION. I GIVE THE SECURITY COMPANY OR ANY AGENT THEREOF PERMISSION TO CONDUCT AND COMPLETE A CRIMINAL AND BACK GROUND CHECK ON ME BEFORE BEING CONSIDERED. I WILL NOT HOLD THE SECURITY COMPANY OR ANYONE AFFILIATED WITH THE COMPANY FOR PERFORMING ANY BACKGROUND CHECKS ON MYSELF. I HEREBY SWEAR AND AFFIRM THAT ALL THE INFORMATION IN THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
- I have read and agree to the above statement*
  
  I agree
- Scheduled Interview?
- Interview Notes
- Status
- Compliance
- Onboarding Email
- Welcome Call
- Interview Rating
- Should be Empty: