JOIN OUR TEAM EMPLOYMENT APPLICATION Today's Date * MM DD YYYY Date Available to Work MM DD YYYY Shift Options * Full Time Part Time Name * First Name Last Name Middle Initial Date of Birth * MM DD YYYY S.S.N. * Social Security Number Address Address 1 Address 2 City State/Province Zip/Postal Code Country Home Phone (###) ### #### Mobile Phone * (###) ### #### Email * Comments Are You a US Citizen? * Yes No If no, are you legally allowed to work in the US? * Yes No N/A GUARD INFORMATION NCPPS Certified? * Yes No Armed? * Yes No Unarmed? * Yes No Security Experience? * Years/Months Has your certification ever been suspended or revoked? * Yes No If yes, why? Have you ever been terminated from a security agency? * Yes No If yes, please explain COMPANY DISCLOSURES Do you agree to work nights and weekends? * Yes No Do you agree to wear a police-style uniform? * Yes No Do you agree that you may have to drive up to 35 miles without reimbursement? * Yes No Do you have a permanent working cell phone? * Yes No Is this cellphone a smart phone? * Yes No Do you agree that you must have access to email? * Yes No Do you have reliable transportation? * Yes No If hired, do you agree to to come to an unarmed training class located at our office within 1-2 weeks? * Yes No Are you employed? * Yes No If yes, please briefly explain your schedule below. WORK HISTORY Starting with the most recent please list your last 2 employers Job Title * Name of Company * Date began employment * Date Separated * Full Time or Part time? * Full-Time Part-Time If part-time, number of hours worked per week Starting Salary * Ending Salary * Supervisor name and phone number * May we contact this person? * Yes No Reason for leaving * Job Duties: * Job Title * Name of Company * Date began employment * Date Separated * Full Time or Part Time? * Full-Time Part-Time If part time, number of hours worked per week * Starting Salary * Ending Salary * Supervisor name and phone number * May we contact this person? * Yes No Reason for leaving? * Job Duties * REFERENCES Please provide 4 non-family references Name * First Name Last Name Relationship * Phone * (###) ### #### Name * First Name Last Name Relationship * Phone * (###) ### #### Name * First Name Last Name Relationship * Phone * (###) ### #### Name * First Name Last Name Relationship * Phone * (###) ### #### Thank you! We will be in touch with you shortly
