Job Application Form

Job Application

ESS Security Specialists
E-mail*
Cell Phone Number*

Area CodePhone Number
Full Name*

First NameLast Name
Date of Birth*

YearMonthDay
Social Security Number*
Present Address*

Street Address

Street Address Line 2

CityState

Zip Code
Previous Address (If less than 5 years)*

Street Address

Street Address Line 2

CityState

Zip Code
Are you 18 Years of age or over?*
Are you a U.S Citizen?*
Do you have a valid driver's license?*
Driver's License Number*
Driver's License State*
Do you own a reliable vehicle?*
If Yes, MAKE, MODEL, COLOR, STATE, PLATE*
Make, Model, Color, State, Plate
EMERGENCY CONTACT Full Name*

First NameLast Name
EMERGENCY CONTACT Relationship*
Relationship
EMERGENCY CONTACT Address*

Street Address

Street Address Line 2

CityState

Zip Code
EMERGENCY CONTACT Phone Number (1)*

Area CodePhone Number

Education
High School*
High School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year Graduated / Expected Graduation*
College / University
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year Graduated / Expected Graduation
Major / Courses Taken / Certifications
Other Education
Other Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year Graduated / Expected Graduation
Major / Courses Taken / Certifications
Comments

Military Service Record

Please Fill If Applicable
Have you ever served in The Armed Forces?*
Branch Served
Date of Duty - START

YearMonthDay
Date
Date of Duty - END

YearMonthDay
Date
List of Duties
Are you in The Reserves?*
Are you in The National Guard?*

Employment History
Start Date*

YearMonthDay
Date
End Date*

YearMonthDay
Date
Employer Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Supervisor*

First NameLast Name
Position*
Reason for Leaving or still there*
Describe the work you performed*
Start Date*

YearMonthDay
Date
End Date*

YearMonthDay
Date
Employer Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Supervisor*

First NameLast Name
Position*
Reason for Leaving or still there*
Describe the work you performed*

Please Indicate If You Have Any of the Following Certifications:
CT Guard Card:*
Gun Permit:*
CT Blue Card:*
Handcuff:*
Baton:*
Pepper Spray:*
Investigations:*
First Aid / CPR:*
EMT:*

ESS Security Specialists Agreement

Please be advised that:
THIS AUTHORIZATION PAGE WILL NEED YOUR HAND WRITTEN SIGNATURE AND DATE

I authorize the ESS Security Specialists, LLC to contact each current and former employer, firm or corporation.

I authorize any of these persons to give all information concerning work-related items and I release all parties from liability for any damage that may result from furnishing same to you.

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I also understand that if accepted by ESS Security Specialists, LLC, my employment is voluntarily entered into and I am free to resign at any time. Similarly, ESS Security Specialists, LLC, is free to conclude my employment at any time. I further recognize that this application is not a contract and cannot create a contract.
Agree with terms and conditions?*

AgreeDisagree
Today's Date*

YearMonthDay
Date
Signature*

Clear
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