Employee Application
Last 4 numbers of your SSN:
Salutation:
v
*First Name:
Middle Initial:
*Last Name:
Nickname:
Address:
* City:
* State:
v
* Zip:
*Home Phone:
Enter only numbers, area code first:
Cell Phone:
Enter only numbers, area code first:
Other Phone:
Enter only numbers, area code first:
Email:
In case of emergency, notify name:
Emergency Phone:
Enter only numbers, area code first:
Check if you are legally authorized to work in the United States:
* How did you hear of us:
v
 
* What position are you applying for:
Date available for work:
v
Minimum rate per hour:
Days you are available to work full-time:
 
What shifts you are available to work:
Preferred Shift:
What times are you available to work from:
   
To:
   
Checking the below boxes indicates YES:  
Do you have transportation:
Will you accept a same day assignment:
Will you accept a long term assignment:
Are you available part-time:
Are you available full-time:
Are you available temp-hire:
Are you available direct-hire:
 
City 
Yes 
05-10 Miles
10-20 Miles
20-30 Miles
30-40 Miles
40-50 Miles
50+ Miles
Bus Line

Skill Title 
Yes 
[Collapse]Skill Set: 0001 TYPES OF DUTY
 Armed Security
 Bank Protection
 Corporate Protection
 Industrial Security
 Parking Lot Security
 Vehicle Patrol
 Special Events
 Strike
[Collapse]Skill Set: 0011 LEVEL OF SUPERVISION
 Basic Officer
 Lead Officer
 Shift Supervisor
 Site Supervisor
 Account Manager
 Senior Management
[Collapse]Skill Set: 0021 PRIOR EXPERIENCE
 Security
 Private Investigator
 Police Department
 Sheriffs Department
 Fire Department
 Military Duty
 Govt/Public Sector
[Collapse]Skill Set: 0031 EQUIPMENT EXPERIENCE
 Basic Alarm Systems
 Advanced Systems
 DV Recorders
 Elevator Controls
 PTZ Cameras
 Time Lapse VCRs
 Video Multiplexers
[Collapse]Skill Set: 0041 SPECIAL TRAINING
 PSTN
 IFPO
 ASIS PSP
 ASIS PSI
 ASIS CPP
 ASIS Other
 OPOTA Security
 OPOTA Police
[Collapse]Skill Set: 0051 OTHER SPECIAL SKILLS
 Professional Image
 Leadership Ability
 Problem Solving
 Stress Coping
 Crisi Intervention
 Basic Computers
 MS Office Aptitude
 weekends/sat, sun

Enter as much information as you can. More details will help us better serve you.

Previous Employment #1

Dates of employment: From: To:
v
v
Name of employer:
Address:
City, State, Zip:
v
Phone:
Supervisor:
Job Position:
Pay per hour:
Reason for leaving:

Previous Employment #2

Dates of employment: From: To:
v
v
Name of employer:
Address:
City, State, Zip:
v
Phone:
Supervisor:
Job Position:
Pay per hour:
Reason for leaving:
   

Previous Employment #3

Dates of employment: From: To:
v
v
Name of employer:
Address:
City, State, Zip:
v
Phone:
Supervisor:
Job Position:
Pay per hour:
Reason for leaving:

Previous Employment #4

Dates of employment: From: To:
v
v
Name of employer:
Address:
City, State, Zip:
v
Phone:
Supervisor:
Job Position:
Pay per hour:
Reason for leaving:
 

Temporary Employment

FIRM # 1

FIRM # 2

Firm name:
Address:
City, State, Zip:
v
Please list at which clients you were placed, job category, and to whom you reported. Please share your thoughts on the agency and your assignment:
Firm name:
Address:
City, State, Zip:
v
Please list at which clients you were placed, job category, and to whom you reported. Please share your thoughts on the agency and your assignment:
 

High School Education

Name of high school:
High school degree:
High school diploma/certificate:

Business or Other Education

Name of school/program:
School/program degree:
School/program diploma/certificate:

College Education

Name of college:
College degree:
College diploma/certificate:
               
      I certify that the information on this application is complete, true and correct. I authorize the company to check the references and statements on this application including, but not limited to, character, job performance, criminal history, and personal background.
  


Submit Your Application


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