Armacosta Security Employment Application

PLEASE COMPLETE THIS JOB APPLICATION IN ITS ENTIRETY. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED FOR EMPLOYMENT.

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Area CodePhone Number

Mobile Number

Area CodePhone Number

How long at current address?

State number of months and/or years only

Last four (4) digits of your Social Security Number

(Format: 0000)

Date of Birth

Date

City of Birth

State of Birth

Country of Birth

Are you under the age of 18?

Please select from the drop down menu

If you are under the age of 18, and you chose "YES" above, can you provide proof of your eligibility to work?

Please select from the drop down menu

Are you currently authorized to work in the United States?

*Proof of eligibility will be required if hired

Are you a U.S. Citizen?

Have you ever been in the Armed Forces?

Are you currently a member of the National Guard?

Specialty During Service

*Complete only if you were in the armed forces or are a member of the National Guard

Date entered Service (if applicable)

Date

Discharge Date (If applicable)

Date

Position Applied for

*Please refer to the job ad for the position you are applying for

Location Applied for

Desired Wage

Numeric Value Only (i.e. 10.00 or 10.00 to 15.00)

Days available to work (Check all that apply)

Please state the hours you are available to work

Ex. 06:00am to 6:00pm; or early morning, mid day, evening or late night-early morning

How many hours are you available to work on a weekly basis?

Please state a range (Ex. 20-30 hours, or 40 hours)

Employment Desired (Please select just one)

When are you available to start work? (Please be specific)

(Ex. June 1, 2019 or Immediately)

EDUCATION

Please State your Education (or n/a if none)

Rows	Name of School	Location of School	Number of Years Completed	Major & Degree
High School
College
College
Technical School
Other

CRIMINAL BACKGROUND HISTORY

*Please note that you are required to provide acurate, truthful and honest answers to the following questions. You understand that the misrepresentation or omission of facts called for is cause for dismissal of your application at any timewithout any previous notice.

Your agreement to this application, and upon receipt of a job offer, you grant Armacosta, LLC permission to run a criminal and investigative background check on your person. Job offers are contingent upon passing a background check, however, does not guarantee job placement.

Have you ever been convicted of a crime which is substantially related to the functions or qualifications of the job for which you are applying?

If you answered "YES" to the above regarding a conviction(s), please explain the number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.

Please only answer if you said "YES" to a conviction

Do you have a valid and active drivers license?

Driver's License Number

Numeric value only

State of issue (2 digit abbreviation only)

(Ex. TX)

Expiration Date

Drivers License Expiration Date (*Not issue date)

Operator Type (Select all that apply)

What is your means of transportation to work?

(Ex. I have my own vehicle)

Have you had any accidents in the last three (3) years?

If you answered "YES" to having any accidents in the last three (3) years, please indicated how many

(Number of accidents Ex. 3)

Have you had any moving violations during the past three (3) years?

If you answered "YES" to having any moving violations in the last three (3) years, please indicated how many

(Number of moving violations Ex. 2)

SECURITY LICENSING QUESTIONS

Do you presently hold a Security Officers License(s) issued by the Texas Department of Public Safety (DPS)?

Please chose one

If you answered "YES" to the above, what level of license do you presently hold, or did you previously hold if it has expired? (Please select all that apply)

LICENSE TYPE:

Please enter your Texas DPS License number:

Please enter your Texas DPS License Expiration date

LICENSE TYPE:

Please enter your Texas DPS License number:

Please enter your Texas DPS License Expiration date

LICENSE TYPE:

Please enter your Texas DPS License number:

Please enter your Texas DPS License Expiration date

Do you have copies of your classroom license certificates of completion?

*COPIES OF YOUR CERTIFICATES WILL BE REQUIRED TO KEEP ON FILE. IF YOU DO NOT HAVE COPIES YOU WILL NEED TO REQUEST THEM FROM YOUR CLASSROOM INSTRUCTORS

Do you have a certificate of completion for use of a "Firearm"?

Do you have a certification of completion for use of a "Baton"?

*Please complete if you are a commissioned officer, or select N/A if not applicable

Do you have a certificate of completion for use of "OS Spray"?

Do you have a certificate of completion for use of "Handcuffs"?

Do you have any CPR training, or a certificate of completion for CPR?

Do you have any self-defense training, such as hand to hand combat, or martial arts?

If you answered "YES" or, "SOME TRAINING" to the above, please state what kind of training you have had, and if it was from a school or academy.

FIELD EXPERIENCE

Do you have any experience using Closed Circuit Televisions (CCTV's) AND MONITORING SYSTEMS?

If you answered "YES" to using CCTV's or monitoring systems, please explain (Be Specific):

Do you have any experience with patrolling "on-foot"?

If you answered "YES" to having "on-foot" patrol experience, please explain (Be Specific):

Do you have any experience with patrolling in a "patrol vehicle"?

If you answered "YES" to having "patrol vehicle" experience, please explain (Be Specific):

Do you have any experience with "Gatekeeping"?

If you answered "YES" to having "Gatekeeping" experience, please explain (Be Specific):

Please select the "types" of locations you have worked as a Security Officer. Please chose all that apply. If you do not have any experience as a Security Officer, please choose "NONE"

Other location types you have worked

Have you ever been in a difficult situation as a security officer? If so, please state "Yes", and explain that situation, and how you handled it? If not, please write "NO". Being specific is important as we want to understand the situation and how it was handled

Do you have any experience working in an office environment?

Do you have any computer skills, and experience with any of the following? Please select all that apply or choose NONE.

WORK EXPERIENCE

Name of "most recent" Employer (Please do not leave out any information)

Rows	Please list your work experience for the past seven (7) years beginning with your most recent job held. If you were self-employed, provide the company name. If you do not know some information, please write n/a
Name of Employer
Address
City, State, Zip
Phone Number
Supervisor or Manager Name
Employment Dates
Pay/Salary
Job Title
Reason for leaving
Job duties
Comments

Employer #2 (Please do not leave out any information)

Rows	Please list your work experience for the past seven (7) years beginning with your most recent job held. If you were self-employed, provide the company name. If you do not know some information, please write n/a
Name of Employer
Address
City, State, Zip
Phone Number
Supervisor or Manager Name
Employment Dates
Pay/Salary
Job Title
Reason for leaving
Job duties
Comments

Employer #3 (Please do not leave out any information)

Rows	Please list your work experience for the past seven (7) years beginning with your most recent job held. If you were self-employed, provide the company name. If you do not know some information, please write n/a
Name of Employer
Address
City, State, Zip
Phone Number
Supervisor or Manager Name
Employment Dates
Pay/Salary
Job Title
Reason for leaving
Job duties
Comments

Employer #4 (Please do not leave out any information)

Rows	Please list your work experience for the past seven (7) years beginning with your most recent job held. If you were self-employed, provide the company name. If you do not know some information, please write n/a
Name of Employer
Address
City, State, Zip
Phone Number
Supervisor or Manager Name
Employment Dates
Pay/Salary
Job Title
Reason for leaving
Job duties
Comments

Please upload a copy of your resume and/or work history:

Browse Files

May we contact your present or most recent employer?

Select one from the drop down menu

Did you complete this application yourself, or did you receive help?

Select one from the drop down menu

If you received help with this application, who helped you?

*Please state who helped you with this application, or write n/a if nobody helped you

REFERENCES

Please list three (3) work related references. No relatives.

Reference # 1

Rows	Professional Reference
Name
Position
Company
Address
Phone No.
What was your relationship to this person?

Reference # 2

Rows	Professional Reference
Name
Position
Company
Address
Phone No.
What was your relationship to this person?

Reference # 3

Rows	Professional Reference
Name
Position
Company
Address
Phone No.
What was your relationship to this person?

After reviewing the job description (refer to the original job post), please indicate if you are able to perform the essential functions of the job for which you applied:

If you answered "NO", please identify those job functions that you cannot perform. If a reasonable accommodation is required to enable you to perform the job properly and safely, please describe:

COVID-19 Information: Armacosta, LLC ("ARMACOSTA") does not require it's employees to be vaccinated or tested against Covid-19, however, certain clients such as hospitals and other organizations ARMACOSTA is contracted to provide services for, may require certain employees to be vaccinated, and/or be tested weekly. Additionally, certain clients may require ARMACOSTA employees wear masks, gloves and use other methods to help prevent the spread of Covid-19 (i.e. using hand sanitizer). Please indicate either your AGREEMENT to, or NON-AGREEMENT to these statements and requirements by checking off the appropriate box below. Those who DO NOT agree to these statements and requirements, may not be selected as a candidate for employment.

____________________________________________

PLEASE READ CAREFULLY

____________________________________________

APPLICATION FORM WAIVER

As indication that you have read and understood each sentence, please click the "Agree" box, and write your full name in the space provided below. This will be your acknowledgement of the application for which you have just completed.

In exchange for the consideration of my job application by Armacosta LLC, (hereinafter the "Company", I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of the Company, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the Owner/Managing Member of the Company. Both the undersigned and the Company may end the empoyment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application.

I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice.

I hereby give the Company permission to contact schools, all previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contact.

I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living.

Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act (FCRA).

I further understand that my employment with the Company shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relationship with the Company is terminable at will for any reason by either party.

I hereby agree to the terms, and conditions as stated above, and acknowledge such by checking the "I Agree" box, and printing my name and date below.

Signature of applicant

*Please PRINT your Full Name

Today's Date

Date

Armacosta LLC is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, gender, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Armacosta LLC depends solely on your qualifications.

Armacosta Security Employment Application

Please enter all DPS License numbers held and the corresponding license type: