Blue Water Security II, Inc - Employment Application
Please complete the form below to apply for a position with us.
Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
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Month
-
Day
Year
Date
Do you have driver's license?
*
Yes
No
Driver's License Number
Driver's License Exp. Date
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Month
-
Day
Year
Date
Driver's License State
Please Select
Alabama (AL)
Alaska (AK)
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Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
District of Columbia (DC)
American Samoa (AS)
Guam (GU)
Northern Mariana Islands (MP)
Puerto Rico (PR)
U.S. Virgin Islands (VI)
If no, explain why.
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Primary Phone Number
*
Format: (000) 000-0000.
Seconday Phone Number
Format: (000) 000-0000.
If you are under 18, can you provide a work permit?
*
Yes
No
If No, please explain why?
Are you legally allowed to work in the United States of America?
*
Yes
No
Have you ever worked for this company?
*
Yes
No
If yes, please specify when?
Position Applied
*
Please Select
Unarmed Security Officer
Roving Patrol Officer
How did you hear about us
*
Please Select
LinkedIn
Event
Social Media
Company Website
Family / Friend
Other
Please Specify
*
Available Start Date
*
/
Month
/
Day
Year
Type of employment desired
*
Full-Time
Part-Time
Temporary
Seasonal
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Education History & Experience
Did you graduate High School?
*
Yes
No
Name and Location of High School
*
Did you attend college?
*
Yes
No
Please list the name of the colleges you attended?
*
Did you complete your degree program?
*
Yes
No
List the names of all the degree programs you completed?
*
Did you attend a trade, buisness, or correspondance school?
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Yes
No
Please list all of the trade / business / correspondance schools you attended
*
Summarize your specical skills and qualifications:
*
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Schedule Availability
What is your availability? (check all that applies)
*
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Transportation
Do you have your own transportation?
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Yes
No
If yes, please please explan. (check all that are applicable).
*
Car
Bus
Train
If other, please explain:
*
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Previous Employment History
Please begin with most recent position
Dates of Employment
*
Company Name
*
Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Supervisor Information
*
Your Responsibilties
*
Your Positions
*
Reasons for Leaving
*
May we contact your employer for a reference?
*
Yes
No
Can you provide a 2nd Employer?
*
Yes
No
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Employment History (2nd Employer)
Dates of Employment
*
Company Name
*
Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Supervisor Information
*
Your Responsibilties
*
Your Positions
*
Reasons for Leaving
*
May we contact your employer for a reference?
*
Yes
No
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Background Investigation Questionaire
As part of a background investigation to determine your suitability for the issuance of a registration by the Georgia Board of Private Detective & Security Agencies, you are required to answer the following questions. If you answer “Yes” to any of these questions, please give a brief explanation of your answer, including dates and places of arrest(s) and/or conviction(s). Attach additional pages, if necessary. Convictions will require certified copies of final court dispositions to be included with the application. Failure to provide final dispositions will delay consideration of your application.
Are ther currently any charges pending against you for a criminal offense?
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Yes
No
Are you under indictment in any court for a felony, or any other crime, for which a judge could imprison you?
*
Yes
No
Have you been convicted in any court of a felony, or any other crime, for which the judge could have imprisoned you for more than one year, even if you received a shorter sentence including probation?
*
Yes
No
Have you entered a plea pursuant to the provisions of the “Georgia First Offender Act”, or any other first offender act? You must respond yes if you pled and completed probation as a first offender?
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Yes
No
Are you a fugitive from justice?
*
Yes
No
Are you an unlawful user of, or addicted to, marijuana, or any depressant, stimulant, or narcotic drug, or any other controlled substance?
*
Yes
No
Have you ever been adjudicated mentally defective (which includes having been adjudicated incompetent to manage your own affairs), or have you ever been committed to a mental institution?
*
Yes
No
Have you been discharged from the Armed Forces under dishonorable conditions?
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Yes
No
Are you subject to a court order restraining you from harnessing, stalking, or threatening your child or an intimate partner or child of such partner?
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Yes
No
Have you been convicted in any court of a misdemeanor crime of domestic violence?
*
Yes
No
Have you ever renounced your United States citizenship?
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Yes
No
Have you, or any company in which you are or were a principal, ever been the subject of an investigation or litigation that was conducted by a federal, state, or local agency?
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Yes
No
Have you ever had a professional license or certificate revoked, suspended, or modified for any reason?
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Yes
No
Have you ever been reprimanded, placed on probation, or otherwise disciplined by a professional licensing or certification body?
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Yes
No
Have you ever been disciplined or cited for a breach of ethics or unprofessional conduct?
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Yes
No
Have you ever resigned or been discharged from any position with criminal or administrative charges pending against you?
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Yes
No
Have you ever registered with a licensed company as a private detective, or security guard employee in this state? If so, list the registration number, company, and an approximate date of registration below?
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Yes
No
If you answered yes to any of the questions above, please give a brief explanation. If you didn't answer yes, simply tyle "N/A".
*
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If you have a resume, or any supporting documents that you'd like to provide, please uload them here.
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