ASP Employee App

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? *

Affinium Employee Ziprecruiter Indeed Facebook Ad on paper
Employee Referral Name
Name of person who referred you to us?
POSITION OR POSITIONS APPLYING FOR *

UNARMED SECURITY GUARD ARMED SECURITY GUARD ATM ARMED 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*

CRIMINAL BACKGROUND INFORMATION (ALL APPLICANTS)

ALL QUESTIONS MUST BE ANSWERED TRUTHFULLY AND COMPLETELY.

"Crime" as used in this section means any and all felonies, misdemeanors and serious driving offenses including, but not limited to, driving while under the influence of intoxicating liquor ("DUI") or drugs, extreme DUI, reckless driving, aggressive driving, racing/ exhibition of speed, excessive (criminal) speed, leaving the scene of an accident, driving on a suspended, revoked or refused a license or any other driving offense that is a misdemeanor (i.e., the possible penalty for a conviction includes imprisonment or jail time). "Crime" does not include minor (civil) traffic offenses. If you are not sure how to answer these questions, please ask a member of the Human Resources Department for assistance.

"Convicted" means you have been found guilty of a crime by a court or jury, or have pleaded guilty or nolo contendere ("no contest") to a crime and have been sentenced for a crime, whether imprisoned, incarcerated, placed on probation, fined or received a suspended sentence.

NOTE: Criminal conviction(s) may or may not constitute an automatic disqualification for employment
Have you ever been convicted of a felony? *

Yes No
If yes, please give date and explain
Have you ever been convicted of any crime, even if "set aside" or "expunged"? *

Yes No
If you answered "yes" to the question above, please give the details of offense(s) for which convicted, date(s) of conviction(s), jurisdiction(s) (court, city, county, state, federal, foreign or military), and disposition(s) on the attached supplemental sheet marked "Criminal Conviction History Form". Exclude tickets for minor traffic and parking violations. *

AZ DPS Licensing Portion

Applicants are deemed to not meet qualifications

• If you are under 18 years of age and are applying to be a security guard, security guard associate, security guard general or firearms trainer, private investigator, or private investigator associate.
• If you are under 21 years of age and are applying to be a qualifying party, private investigator qualifying party, or resident manager for a security guard agency.
• If you are not a citizen or legal resident who is authorized to seek employment in the United States.
• If you have ever been convicted of a felony, whether or not your conviction was subsequently Set Aside or Vacated and your Civil Rights were restored.
• If you are currently under indictment for a felony
• If within the last 5 years preceding your application, you have been convicted of any misdemeanors, whether or not your conviction was subsequently Set Aside or Vacated, that involves:

• Personal violence
• Misconduct involving a deadly weapon as provided in Arizona Revised Statutes (ARS) §13-3102
• Dishonesty or fraud
• Arson
• Theft
• Domestic violence
• Narcotics (ARS §13, Chapter 34, or similar)
• Sexual misconduct

• If you are on parole, community supervision or work furlough, on home arrest, on release on any other basis.
• If you are named in an outstanding arrest warrant.
• If you are on probation pursuant to a conviction for any act of personal violence or domestic violence as in ARS §13-3601 or similar.
• If you have been adjudicated mentally incompetent or found to constitute a danger to self or others, ARS §36-540.
• If you have a disability, which renders you incapable of performing essential functions of the job even with reasonable accommodation from the employer, ARS §41-1461.
• If you have been convicted of acting or attempting to act as a security guard or private investigator without a license if a license was required.
• If you are a registered sex offender.

https://www.azdps.gov/licensing/sg?qt-security_guards=6#qt-security_guards
Do you meet Arizona Department of Public Safety mandatory age and other requirements to obtain DPS Guard Card? *

Yes No
If hired, can you furnish proof of eligibility to work in the U.S. *

Yes No
Have you ever worked for Affinium Security Protection? *

Yes no
If yes, what dates?

Licenses Inquiry

--Type of license in possession--
Do you have a current AZ Guard License? *

Yes No
AZ UNARMED GUARD License Number? *
Add 0000000 if not applicable
Unarmed Guard License Expires: Date
AZ ARMED GUARD License Number? *
Add 0000000 if not applicable
Armed Guard License Expires: Date
CCW Permit Number? *
Add 0000000 if not applicable
Do you have a current Facility Agent License? *

Yes No
FA Number? *
Add 0000000 if not applicable
FA License Expires: Date
Do you have a current Dispensary Agent License? *

Yes No
DA Number? *
Add 0000000 if not applicable
DA License Expires: Date
Do you have a current Medical Marijuana Card? *

Yes No
MMA Number? *
Add 0000000 if not applicable
MMA License Expires: Date

Qualifications
Please describe why you believe you would be an asset to the "Affinium Team" *
When hired on, what are you hoping to accomplish or what kind of goals do you have as a Affinium Team member? *
Hourly / Salary Requesting *

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 *
PAST EMPLOYERS
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 *
PAST 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

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

Finalizing Application

Your application will be sent to a hiring manager for review after which you shall be called for interview appointment. Please email HR@affiniuminc.com for any questions.
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
If yes, please explain
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 Agreement. Failure to sign this Agreement shall result in the revocation of offer of employment. *

I ACCEPT I DO NOT ACCEPT
Please upload a photo of yourself (no matter age) *

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Affinium Security & Protection LLC.

Because your peace of mind matters... Your security is our Priority!
Should be Empty:

EMPLOYEE APPLICATION

GENERAL INFORMATION

Licenses Inquiry

Qualifications

Level of Performance

Employment History Information

Additional Information

EDUCATION INFORMATION

High School

Colledge

Finalizing Application

Affinium Security & Protection LLC.