Jurek Security Services

Employment Application Jurek Security Services

It is the policy of Jurek Security Services, LLC. to provide equal employment opportunities to all applicants and employees without regards to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.
Application Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of Years at this address*
Phone Number - Cell*

Area CodePhone Number
Phone Number - Home*

Area CodePhone Number
Email Address*
example@example.com
Social Security Number*
Birth Date*
Driver's License ( State/Number )*
Emergency Contact

(To be contacted if you are involved in an emergency)
Contact Name*

First NameLast Name
Relationship to you*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number - Cell*

Area CodePhone Number
Job/Position Applying For
Job Applying for*
Salary Desired $ Per hour*
Have you previously applied to our company?*

YesNo
If yes, When?
Are you at least 18 years old?*
Current Age?*
How will you get to work?*
Job Requirements
Some Schedules which may include working Holidays. Is this acceptable to you? This include time and half for pay rate during Holiday hours.*

YesNo
Most duties require walking for long periods of time, including long periods of standing for more than 6 hours. Will this be a problem for you? *

YesNo
You are required to have reliable transportation, working cell phone, professional writing, be on time when on schedule, and having clean presents when on shift. Will this be a problem for you?*

YesNo
Do you understand that working for Jurek Security Services or being a Security Guard even if armed is NOT a police officer?*

YesNo
Criminal History
Have you ever received a traffic citation for any of the following reasons:
Alcohol or Drug related offenses?*

YesNo
Reckless or careless driving?*

YesNo
Speeding 20 mph over the posted limit?*

YesNo
Have you ever been convicted in any court of a crime, sentenced to imprisonment for a term exceeding 1 year for that crime, and incarcerated as a result of that sentence for not less than 1 year?*

YesNo
Have you ever been charged with any felony offense?*

YesNo
Have you ever been convicted of an offense involving domestic violence or a crime of violence (Such as battery or assault)? *

YesNo
Have you ever been charged with an offense involving alcohol or drugs?*

YesNo
Explain All YES answers Below:
Applicant's Skills
Have you worked in Law Enforcement?*

YesNo
Where?
How long?
Reason for leaving?
Have you worked in the Security industry before?*

YesNo
When?
What Company?
Have you completed a 20 - Hour Un-armed Security training course?*

YesNo
Have you completed a 40 - Hour armed training course?*

YesNo
Do you have a PERC Card?*

YesNo
What is your PERC Card Number and State Issued?*
Do you have an Armed Security Guard License?*

YesNo
What is your Armed Security Guard License and State Issued?*
Do you have any other Security training courses ( Handcuffs, Baton, Peter spray )? List below*
Military Service
Branch?
Supervisor Name?
Job Duties?
Reason for Leaving?
Dates Served ( Month/Year )
Applicant Employment History ( 1 )

These 3 Sections are not required but will help your application.
Site
Supervisor Name

First NameLast Name
Email
example@example.com
Phone Number - Cell

Area CodePhone Number
Job Duties
Reason for Leaving?
Date of Employment till? ( Month/Year )
Applicant Employment History ( 2 )
Site
Supervisor Name

First NameLast Name
Email
example@example.com
Phone Number - Cell

Area CodePhone Number
Job Duties
Reason for Leaving?
Date of Employment till? ( Month/Year )
Applicant Employment History ( 3 )
Site
Supervisor Name

First NameLast Name
Email
example@example.com
Phone Number - Cell

Area CodePhone Number
Job Duties
Reason for Leaving
Date of Employment till? ( Month/Year)
Education
College/University
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Degree
High School*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Graduated?*

YesNo
GED?*

YesNo
Awards, Honors, Special Achievements?*
References

Please Provide 3 personal references, other than family members, who have known you for 5 years or more
( 1 )
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Relationship?*
( 2 )
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Relationship?*
( 3 )
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Relationship?*
Is there any other information that should be considered? if not ANSWER ( N/A )*
Certification
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences immediate termination.

I authorized Jurek Security Services, LLC to conduct criminal background checks and. To contact former employers. And educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information to Jurek Security Services, LLC.

I have carefully read the above certification and I understand and agree to its terms.
Applicant Sign*
Applicant Signature*
Date*
Questions

Note : There is NO wrong answer
I don't deal with new or unfamiliar situations very well.

Exactly like meA lot like meSomewhat like meA little like meNot at all like me
When things at work start to get hectic I feel completely overwhelmed and unable to cope.

Exactly like meA lot like meSomewhat like meA little like meNot at all like me
I daydream when I know I should be paying attention.

Exactly like meA lot like meSomewhat like meA little like meNot at all like me
If I don't succeed at something right away, I'll keep trying until I get it right.

Exactly like meA lot like meSomewhat like meA little like meNot at all like me
I get bored easily.

Exactly like meA lot like meSomewhat like meA little like meNot at all like me
When I am stressed, I find it hard to think straight.

Exactly like meA lot like meSomewhat like meA little like meNot at all like me
I pay careful attention to all the little details when I'm completing a task.

Exactly like meA lot like meSomewhat like meA little like meNot at all like me
If I don't see the point of a rule or regulation, I won't follow it closely.

Exactly like meA lot like meSomewhat like meA little like meNot at all like me
If I saw two people physically fighting, I would try to intervene.

Exactly like meA lot like meSomewhat like meA little like meNot at all like me
I jump into new situations without much thought.

Exactly like meA lot like meSomewhat like meA little like meNot at all like me
High-pressured situations bring out the best in me.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
I tend to notice things that other people don't pick up on.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
I have good observation skills.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
People know they can count on me.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
Noticing minor details is one of my strengths.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
Other people's moods rub off on me.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
When an interrupting thought comes into my head, I am able to kick it out and continue on with what I was doing.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
I am able to focus and be precise when a situation calls for it.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
I can tell when someone is uncomfortable talking about a certain topic.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
I am comfortable dealing with conflicts when they arise.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
I find it easy to see things from someone eles's point of view.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
I feel people take advantage of me.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
I realize that past actions that I have taken were more dangerous than I thought at the time.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
Talking to people in position of authority makes me feel nervous, self-conscious, or unsure of myself.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
I express my opinions even if there's a chance that others will disagree with me.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
I feel threatened when dealing someone who is very assertive.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
If a decision seems too risky, I am not likely to proceed.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
I remain calm and relaxed in situations in which most people would become fearful, upset, or stressed.

Completely trueMostly trueSomewhat true or falseMostly falseCompletely false
I bend or break rules to save time or effort.

AlwaysOftenSometimesRarelyNever
Worry prevents me from taking action.

AlwaysOftenSometimesRarelyNever
I am able to motivate myself to complete unpleasant but necessary tasks.

AlwaysOftenSometimesRarelyNever
I make comments that I wish I could take back.

AlwaysOftenSometimesRarelyNever
I can accurately perceive other people's emotions.

AlwaysOftenSometimesRarelyNever
I am able to resolve arguments without losing control of my emotions.

AlwaysOftenSometimesRarelyNever
When I start to lose focus on what I'm doing, I take a break.

AlwaysOftenSometimesRarelyNever
I am able to mobilize the physical, emotional, or mental energy I need to accomplish a task.

AlwaysOftenSometimesRarelyNever
I behave in a self-confident manner.

AlwaysOftenSometimesRarelyNever
I consider the pros and cons of a decision before I proceed.

AlwaysOftenSometimesRarelyNever
I take pride in my work.

Strongly agreeAgreeSomewhat agree or disagreeDisagreeStrongly disagree
When times get tough, I find it hard to stay motivated.

Strongly agreeAgreeSomewhat agree or disagreeDisagreeStrongly disagree
I refuse to let fear hold me back from doing what I want to.

Strongly agreeAgreeSomewhat agree or disagreeDisagreeStrongly disagree
I don't mind following strict procedures and guidelines if it will make my workplace safer.

Strongly agreeAgreeSomewhat agree or disagreeDisagreeStrongly disagree
Sizing up people's character is?

One of my strongest points.Something I am relatively good at.Something I am not very good atOne of my weakest points.Something that I don't bother doing.
When I am wrong, I am not afraid to admit it.

Always trueOften trueSometimes trueRarely sureNever true - admitting a mistake would be a sign of weaknessI am rarely, if ever, wrong.
When I get into an intense argument with someone, I

Get shaky and nervous and try to end it as soon as possible, whatever the cost.Apprehensively prepare myself for an uncomfortable situation.Talk it out calmly and try to minimize the damage.Settle in and prepare for a spirited battle of wits.Deal with it very forcefully, and even get physical on occasion when the situation calls for it.
How would you rate you ability to deal with difficult people?
How would past supervisors/ managers rate your work ethic?
How would you rate you ability to deal with stress?
How comfortable are you when dealing with dangerous situations?
Thank you for your answers! Please make sure you press the Submit Button below.
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Employment Application Jurek Security Services

Application Information

Emergency Contact

Job/Position Applying For

Job Requirements

Criminal History

Applicant's Skills

Military Service

Applicant Employment History ( 1 )

Applicant Employment History ( 2 )

Applicant Employment History ( 3 )

Education

References

Certification

Questions

Thank you for your answers! Please make sure you press the Submit Button below.