Application for Employment

Application for Employment
What location are you applying for
Name

First NameMiddle NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth
Place of Birth (City, State)
Drivers License or State ID Number
Expiration of ID or Driver's License
Social Security Number
Due to the nature of employment, this information is necessary for background checks and base security clearance.

Due to the nature of employment, this information is necessary for background
checks and base security clearance. This information is securely stored and
not shared outside of Choice Services, Inc. performance requirements.
First form of identification (SS card)
Second form of identification (Driver's License/State Identification)

Emergency Contact

First NameLast Name
Relationship to Applicant:
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I understand the Job I am applying for is PART TIME and the number of days & hours I am required to work may increase, decrease, or be eliminated. The military base leadership and security forces do reserve the right to eliminate, reduce, or change services provided by Choice Services, Inc. at any time to include denying access to the base. If you are denied base access, your employment is immediately terminated.

I give permission for Choice Services, Inc. to provide personal information to the military base for the purpose of a military background check. The military base has the right to accept or reject your ability to work on the base as the result of this background check, which is required for employment.
Signature
Date

MonthDayYear
Date