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Prelimary Application for Employment
Date Applying:
Required Information-*
Name & Address
*First:
*Middle:
*Last:
*Address:
Address2:
City:
State:
Zip Code:
Contact Info
*Home Phone:
Other Phone:
*Cell:
Fax:
*E-mail:
Background Check
*SSN#:
*DL#:
State:
Do you have a P.E.R.C.:
Yes
No
P.E.R.C.#:
*
*If Applied for and you have not received it yet, click Yes and type APPLIED for your number.
*
Are you over 18 years of age:
Yes
No
You must over 18 to work in the Security Industry.
Are you legally eligible to work in the United States?
Yes
No
(You will be required by law, to provide documents verifying your employment eligibility.)
Were ever employed by us before:
Yes
No
IF YES, enter date:
Position(s) Applied for:
Security Guard
Security Armed Guard
Supervisor
Clerical Position
Management Position
Full Time Work
Part Time Work
Shift Work (Floater)
Temporary Work
Who referred you to our company?
Advertisement
Private Employment Agency
Friend
Relative
Goverment Employment Agency
Internet Search
Other:
How Far are willing to Drive:
5 miles
10 miles
15 miles
30 miles
More than 30
Shift Preference:
12AM - 8AM
8AM - 4PM
4PM - 12AM
weekends
How will you get to work:
Own Car
CTA
Metra
Pace
Other
Work Experience / Resume / References / Comments :