Twin City Security
Employment Application
Full Name
*
First Name
Middle Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
Is it okay to text you to share information about the job and once hired to continue using text as a primary way to communicate?
*
Yes
No
Do you have access to a vehicle to use as needed for shelter for the entire duration of shift?
*
Yes
No
E-mail Address:
*
example@example.com
PERSONAL INFORMATION:
Referred By:
Have you ever worked or applied at Twin City Security?
*
Yes
No
If so, when?
*
-
Month
-
Day
Year
Date Picker Icon
Have you ever been convicted of a felony?
*
Yes
No
Have you ever been convicted of a crime, either civil or military?
*
Yes
No
Are you able to fluently speak, read and write in English?
*
Yes
No
Are you able to pass a drug test?
*
Yes
No
Do you have a verifiable work history?
*
Yes
No
Do you have a verifiable permanent residence?
*
Yes
No
Do you have a verifiable working phone?
*
Yes
No
Do you have reliable transportation?
*
Yes
No
When can you start work?
*
-
Month
-
Day
Year
Date Picker Icon
Shift Preference
*
1st shift (7am-3pm)
2nd shift (3pm-11pm)
3rd shift (11pm-7am)
No Preference
PLEASE NOTE: shift preference gives us an idea of your availability. Not all shifts are in 8-hour blocks. shift times will be discussed prior to hire.
*
I understand
Weekend Availability
*
Yes
No
Prefer
*
Part Time
Full time
Salary Desired:
In case of emergency, notify:
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
-
Area Code
Phone Number
PREVIOUS ADDRESS:
(Past 5 Years)
EDUCATION:
High School
College
Trade/Tech.
MILITARY SERVICE:
Have you served in the US Military? If yes, please fill out below information
*
Yes
No
PREVIOUS EMPLOYMENT
Employment dates
From
*
-
Month
-
Day
Year
Date Picker Icon
To
*
-
Month
-
Day
Year
Date Picker Icon
Company Name
*
Full Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Position
*
Former Supervisor Telephone
*
Eligible for Rehire?
*
Yes
No
Former Company Telephone
*
Employment dates
From
*
-
Month
-
Day
Year
Date Picker Icon
To
*
-
Month
-
Day
Year
Date Picker Icon
Company Name
*
Full Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Position
*
Company and/or Supervisor Telephone
*
-
Area Code
Phone Number
Eligible for Rehire?
*
Yes
No
Former Company Telephone
*
REFERENCES
Give below the names of three persons not related to you, whom you have known at least one year.
Name
First Name
Middle Name
Last Name
Phone
Years Acquainted
Name
First Name
Middle Name
Last Name
Phone
Name
First Name
Middle Name
Last Name
Phone
*
I understand that this application does not constitute an offer of employment. I understand that any employment offer to me is “at-will” employment, is not for any fixed term or period and may be terminated at the sole and complete discretion of Twin City Security with or without cause and at any time without advance notice. I agree to submit to a physical examination, drug or alcohol screen or polygraph test in connection with my employment at any time at the request of Twin City Security.
Signature
*
Date
*
-
Month
-
Day
Year
Date
INTERVIEW NOTES
Submit
Should be Empty: