Security Guard Application Form

Security Guard Application Form

Please complete all sections to be considered for a security guard position.
Personal Information

Please provide your contact and identification details.
Full legal name*

First NameLast Name
Phone number*
Please enter a valid phone number.Format: (000) 000-0000.
Email address*
example@example.com
Home address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of birth*

MonthDayYear
Date
Security License Details

Provide your NYS Security Guard License information.
NYS Security Guard License number*
License expiration date*

MonthDayYear
Date
Upload photo of license*

Cancelof
Identification

Upload a photo of your government-issued ID (driver’s license or state ID).
Upload photo of government ID (driver’s license or state ID)*

Cancelof
Work Eligibility

Confirm your eligibility to work and background information.
YesNo
YesNo
Experience

Share your background in security work.
Years of security experience*
Availability

Let us know when you are available to work.
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
DayNightEvent
YesNo
Uniform & Appearance

Uniform requirements and sizing information.
YesNo
Shirt size*
Pant size*
Shoe size*
Emergency Contact

Provide a contact in case of emergency.
Emergency contact name*
Relationship to you*
Emergency contact phone number*
Please enter a valid phone number.Format: (000) 000-0000.
Agreement & Signature

Please read and sign to confirm your information is accurate.
Electronic signature*

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Date*

MonthDayYear
Date
Should be Empty:

Security Guard Application Form

Personal Information

Security License Details

Identification

Work Eligibility

Experience

Availability

Uniform & Appearance

Emergency Contact

Agreement & Signature