EMPLOYMENT APPLICATION

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications. Please carefully read and answer all questions. You may attach your resume, however, it is required for you to complete the Position Information section on this application. Applicants will not be considered for employment if fields are left blank.
EMPLOYMENT APPLICATION
APPLICANT INFORMATION
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
POSITION INFORMATION
What position are you apply for?
Are you authorized to work in the U.S. on an unrestricted basis?

YesNo
Do you currently hold an active Florida Class D Security License?

YesNo
When are you willing to work? Check all that apply.

Full-time (40+ hours per week)Part-time (less than 40 hours per week)Temporary/Seasonal/Emergency ResponseWeekdays (Monday - Friday)Weekends (Saturday - Sunday)Days (6am-6pm)Nights (6pm-6am)
Are there any days/times that you are unavailable?
Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.)

YesNo
If Yes, Explain in detail.
Do you give Plancher Security & Investigation, LLC permission to run a background check on you for employment purposes? (Convictions will not necessarily disqualify an applicant for employment.) If No, Explain why.

YesNo
Are you able to pass a drug test?

YesNo
Date you can start working?

MonthDayYear
Date
EDUCATION
Highest level of education?
Professional License(s):
List any license(s) that you feel would help you in the position that you are applying for.
Special Skills:
List any special skills or experience that you feel would help you in the position that you are applying for.
REFERENCES

Please list two professional references not related to you.
Reference #1

First NameLast Name
Title
How do you know them? (Co-Worker, Teacher, etc)
Phone Number
Please enter a valid phone number.
Email
example@example.com
Reference #2

First NameLast Name
Title
How do you know them? (Co-Worker, Teacher, etc)
Phone Number
Please enter a valid phone number.
Email
example@example.com
Work History

Please provide your most recent employer.
Job Title #1
Name of your Job Position
Employer's Name
Name of Company or Business Name
Supervisor's Name
Name of Boss or Manager
Phone Number
Please enter a valid phone number.
Email
example@example.com
Job Duties
What did you do while working this position? (Responsibilities, Job duties, Explain your work day)
Reason for leaving?
Explain why you are no longer working here or reason for wanting to leave.
May we contact your most recent employer?

YesNo
If No, Explain why.
Resume

Cancelof
By submitting this application, you certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. You understand that if you are employed, false statements, omissions or misrepresentations may result in your dismissal. You authorize Plancher Security & Investigation, LLC to make an investigation of any of the facts set forth in this application and release Plancher Security & Investigation, LLC from any liability. Plancher Security & Investigation, LLC may contact any listed references on this application. You acknowledge and understand that Plancher Security & Investigation, LLC is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as Plancher Security & Investigation, LLC may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
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EMPLOYMENT APPLICATION

APPLICANT INFORMATION

POSITION INFORMATION

EDUCATION

REFERENCES

Work History