Application Information
Last Name:
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First Name
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Middle Initial:
Address:
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City:
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State:
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Zip Code:
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Social Security Number:
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Phone Number:
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Email Address:
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When are you available to start (if hired):
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Position Applying for:
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Please Select
Unarmed Security Guard
Armed Security Guard
other
Desired pay rate:
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Are you legally entitled to work in the U.S.?
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YES
NO
Have you ever worked for this company?
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YES
NO
If yes, when?
How did you find out about this job?
Have you ever been convicted of a crime, other than a minor traffic violation?
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Yes
No
If yes, please describe fully (nature of offense, date, disposition, incarceration, rehabilitation):
Education
What is the highest level of education:
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High School Diploma
GED
Some College
College Degree
School(s) attended & location:
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Degree(s) obtained:
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Vocational/Trade Training:
References:
Please list 3 professional references
Full name of reference 1:
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Relationship of reference 1:
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Company of reference 1:
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Phone number of reference 1:
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Address of reference 1:
Full Name of reference 2:
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Relationship of reference 2:
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Company of reference 2:
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Phone number of reference 2:
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Address of reference 2:
Full name of reference 3:
Relationship of reference 3:
Company of reference 3:
Phone number of reference 3:
Address of reference 3:
Previous Employment
List all work experience since high school, starting with your present or most recent employer
Employer 1:
(Enter all information of your previous employer.)
Company name of employer 1:
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Phone number of employer 1:
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Address of employer 1:
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Supervisor of employer 1:
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What was your job title for employer 1:
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Starting salary for employer 1:
Ending salary for employer 1:
What were your responsibilities for employer 1:
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When did you start working for employer 1:
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When did you stop working for employer 1:
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Reason for leaving employer 1:
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May we contact your employer 1?
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Yes
No
Employer 2:
(Enter all information of your previous employer.)
Company name of employer 2:
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Phone number of employer 2:
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Address of employer 2:
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Supervisor of employer 2:
*
What was your job title for employer 2:
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Starting salary for employer 2:
Ending salary for employer 2:
What were your responsibilities for employer 2:
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When did you start working for employer 2:
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When did you stop working for employer 2:
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Reason for leaving employer 2:
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May we contact your employer 2?
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Yes
No
Employer 3:
(Enter all information of your previous employer.)
Company name of employer 3:
Phone number of employer 3:
Address of employer 3:
Supervisor of employer 3:
What was your job title for employer 3:
Starting salary for employer 3:
Ending salary for employer 3:
What were your responsibilities for employer 3:
When did you start working for employer 3:
When did you stop working for employer 3:
Reason for leaving employer 3:
May we contact your employer 3?
Yes
No
Were there any periods of unemployment since high school?
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Yes
No
If yes, list dates and reasons:
Have you ever been discharged or asked to resign from a job?
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Yes
No
If yes, please explain
Military Service
If applicable, please provide your military experience
Branch of Military you served:
When did you start your Military service?
When did you stop your Military service?
Rank at discharge:
Most of our security coverage is needed during 2nd and 3rd shifts (afternoons, evenings, and overnight), including weekends. Are you available to work during those times?
Please fill out your schedule availability
What shift can you work?
Please Select
3rd shift (most common)
2nd shift (common)
[hard to come by without seniority] 1st shift
ANY SHIFT
Do you have any restrictions of days you MUST have off (list days)?
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Facial Hair & Body Art
Our company has a Clean-Shaven policy, meaning no facial hair, with exception of a mustache. Tattoos are perfectly fine as well, so long as they are not offensive.
Do you agree to the Facial Hair & Body Art rules of the company?
Please Select
Yes (I agree to Facial Hair & Body Art rules)
NO (I don't agree with Facial Hair & Body Art Rules)
Background Check Consent:
By signing below, you acknowledge and consent to a background check being conducted as part of the employment process. Failure to consent will result from consideration for employment.
Disclaimer and Signature:
I certify that the information contained in this application is true and complete to the best of my knowledge. I understand that any false statements or omissions may result in refusal to hire or, if employed, dismissal. I authorize the references listed to provide information regarding my prior employment and release all parties from liability for providing such information. I understand that employment maybe contingent upon passing a drug test and background check.
Signature
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Date of Signature:
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Month
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Day
Year
Date
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