Security Guard Job Application Form

Security Guard Contractor Application Form
Name

First NameLast Name
Birth Date

MonthDayYear
Date
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
Security Licence

YesNoApplied forDS Licence
Licence Number
Expire Date

MonthDayYear
Date
Are you armed?

YesNo
Preferred Work Arrangements

Full-time (Day and Nights)Part-time (Mon-Fri Evenings)Weekend Days
Education and Professional Qualifications

Rows	School	From	To	Examinations taken
1
2
3
4

Other Relevant Educational or Training Courses
with dates a.g. first aid, fire training etc.
Professional Qualifications
Other Relevant Abilities, Skills, Knowledge and Experience
Employment History

Please state your previous employers from most recent to least recent.
Employed From

MonthDayYear
Date
Employed To

MonthDayYear
Date
Employer
Supervisor Name
Salary
Reason For Leaving
Have you ever served in the military?

YesNo
Have you ever been convicted of a crime?

YesNo
If "Yes" to above please explain
References

Please give the names of 3 people (other than family) whom you have known for at least 1 year.
Person 1
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship
# of Years Known
Person 2
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship
# of Years Known
Person 3
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship
# of Years Known
Upload your resume.

Cancelof
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 A-1 PROTECTIVE SERVICES OR ANY AGENT OF THEIR CHOOSING PERMISSION TO CONDUCT AND COMPLETE A CRIMINAL AND FINANCIAL BACK GROUND CHECK ON ME BEFORE BEING CONSIDERED. I WILL NOT HOLD NORTH ATLANTIC SECURITY OR ANYONE AFFILIATED WITH THE COMPANY FOR PERFORMING A FINANCIAL AND CRIMINAL BACKGROUND CHECK ON MYSELF. I HEREBY SWEAR OR AFFIRM THAT ALL THE INFORMATION IN THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
Name

First NameLast Name
Date

MonthDayYear
Date
Should be Empty:

Security Guard Contractor Application Form

Education and Professional Qualifications

Employment History

References

Person 1

Person 2

Person 3