AFFINIUM EMPLOYEE APPLICATION

AFFINIUM EMPLOYEE APPLICATION

Because your peace of mind matters your security is our priority!
Completion of this form in no way constitutes an offer of employment. The information requested is required to provide us with the information necessary to consider you for the position for which you are applying.

CONDITIONS OF CONSIDERATION FOR EMPLOYMENT

All information contained on the application is subject to verification. If applicable, Affinium Security and Protection LLC in accordance with State of Arizona Laws may conduct background checks including, but not limited to, work references, driving records, criminal conviction records, and educational attainment.

You are subject to a criminal background investigation for some positions. If applicable, your fingerprints may be sent to state and federal law enforcement agencies such as the Arizona Department of Public Safety and or the Federal Bureau of Investigations or both. All offers of employment and continued employment may be subject to a complete review of any criminal convictions you may have. Your failure to make full and accurate disclosure of any prior conviction(s), or to answer the questions fully and accurately, may result in immediate disqualification and or termination from employment or the rejection of any pending application or licenses from the State of Arizona.

AUTHORIZATION FOR BACKGROUND CHECKS

By signing the application and carefully reading this Background Check Disclosure and Authorization above, I authorize the Affinium Security Protection LLC to order my background report, including investigative consumer reports. I understand that the Company may rely on this authorization to order additional background reports, including investigative consumer reports, during my employment without asking me for my authorization again as allowed by law.
GENERAL INFORMATION
How did you hear about us?

Ziprecruiter Indeed Facebook Add on paper
POSITION OR POSITIONS APPLYING FOR *

UNARMED SECURITY GUARD ARMED SECURITY GUARD ARMED ATM SECURITY ESCORT
Full Name *

First Name Middle Name Last Name Suffix
Home Address *

Street Address Line 2
Mailing Address

If Differs from above

Street Address Line 2
Phone Number *
Your email: *
Social Security Number: *
example 000-00-0000
Date of Birth *

Month Day Year
Date
Driver's License Number: *
include state example AZ D0000000
What state is your ID/Driver's License State .
When does your ID/DL Expire ? Date

Employment History Information

List all employers beginning with the most recent first. Account for all time employed, including self employment. If you do not have employment history, please proceed. The State's policy is to verify the past five (5) years of employment history by contacting all supervisors listed below. If we cannot contact all of the supervisors listed, please explain why in the box below:
MOST RECENT EMPLOYER
Employer Name? *
IS IT OK TO CONTACT THIS EMPLOYER *
Employer phone *

Area Code Phone Number
City, State? *
Salary Held? *
Hourly Wage or Salary Amount?
Position Held? *
Start Date? *

Month Day Year
Date Finished? *

Month Day Year
Supervisor name *

First Name Last Name
Describe your duties: *
Reason for leaving *
NEXT EMPLOYER
Employer Name? *
IS IT OK TO CONTACT THIS EMPLOYER *
Employer phone *

Area Code Phone Number
City, State *
Salary Held? *
Hourly Wage or Salary Amount?
Position Held *
Start Date *

Month Day Year
Date
Date Finished *

Month Day Year
Supervisor name *

First Name Last Name
Describe your duties: *
Reason for leaving *
NEXT EMPLOYER
Employer Name? *
IS IT OK TO CONTACT THIS EMPLOYER *
Employer phone

Area Code Phone Number
City, State
Salary Held?
Hourly Wage or Salary Amount?
Position Held
Start date

Month Day Year
Date Finished

Month Day Year
Supervisor name

First Name Last Name
Describe your duties:
Reason for leaving
Additional Information
Have you ever been employed under another name? *

Yes No
If yes, please explain
Are you willing to take a drug screening test? *

Yes No
If hired, drug tests are mandatory and often times are random. If you are not willing to undergo drug screening upon request this will be grounds for immediate dismissal and possible termination. *

Yes, I understand No, I don't consent

EDUCATION INFORMATION
High School
Name & City/State of High School *
Course of Study/ Degree Earned *
Did you graduate? *

Yes No Attending
Colledge
Name & City/State of College or University
Course of Study/ Degree Earned
Did you graduate?

Yes No Attending
OTHER SCHOOL, TRAINING OR EDUCATION
Name & City/State of OTHER (specify)
Course of Study/ Degree Earned
Did you graduate?

Yes No Attending

We would like for you to add your personal reason why you would make a good employee for Affinium Security & Protection LLC. *
I understand and agree that if hired, my employment is "at-will" and is not for a definite period and may, regardless of circumstances, be terminated at any time without prior notice by the Company. I further acknowledge that no contract of employment will be valid against the company unless signed by the Chief Operating Officer of the Company.

I acknowledge that as a condition of my employment, I will be required to agree to be bound by the terms of and sign the Company policies. Failure to sign this Agreement shall result in the revocation of my offer of employment.
I understand and agree that, if hired my employment is "at-will" and is not for a definite period and may, regardless of circumstances, be terminated at any time without prior notice by the Company. I further acknowledge that no contract of employment will be valid against the company unless signed by the Chief Operating Officer of the Company.I acknowledge that as a condition of my employment, I will be required to agree to be bound by the terms of and sign the Company. Failure to sign this Agreement shall result in the revocation of my offer of employment. *

I ACCEPT I DO NOT ACCEPT
Please upload a photo of yourself (facial pic preferred)

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Affinium Security & Protection LLC.

Because your peace of mind matters... Your security is our Priority!
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AFFINIUM EMPLOYEE APPLICATION

GENERAL INFORMATION

Qualifications

Performance

Employment History Information

Additional Information

EDUCATION INFORMATION

High School

Colledge

Affinium Security & Protection LLC.