Step 1 of 16 6% Position Applying For* Unarmed Uniformed Security Armed Uniformed Security Loss Prevention Agent Sales Representative Personal Protection Private Investigator Dispatcher Patrol Officer Supervisor/ Operations Office Staff / Management Alarm / CCTV Installer Other: If Other, Describe* Type of Job* Full Time Part Time On-Call Rover Temporary Requested Compensation (Amount / Rate)*Examples: $50/hour; $50k/year Legal NameFull Legal Name* Nick name Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home PhoneCell Phone* Are You Available For* Day Swing Graveyards Other: If Other, Please Describe* Are You Willing To Travel?* Yes No How Far?* Are You Willing To Relocate? Yes No How Far?* Select days of the week* Monday Tuesday Wednesday Thursday Friday Saturday Sunday From/To (Monday Availability)* From/To (Tuesday Availability)* From/To (Wednesday Availability)* From/To (Thursday Availability)* From/To (Friday Availability)* From/To (Saturday Availability)* From/To (Sunday Availability)* Add Availability Times* EducationHigh School* Year Completed Average GPA City Phone College Name Year Completed Average GPACity PhoneTrade SchoolTrade School Name Year Completed Average GPACity Phone Former Employers (Please state most recent employer information)Company Name Date MM slash DD slash YYYY Date MM slash DD slash YYYY Reason for leaving Hourly Rate or Pay Employer #2Company Name Date MM slash DD slash YYYY Date MM slash DD slash YYYY Reason for leaving Hourly Rate or Pay Employer #3Company Name Date MM slash DD slash YYYY Date MM slash DD slash YYYY Reason for leaving Hourly Rate or Pay Personal ReferenceFull Name* Relationship Phone Number (Area Code) Phone Number (Last 7 Digits) Reference #2Full Name* Relationship Phone Number (Area Code) Phone Number (Last 7 Digits) Reference #3Full Name* Relationship Phone Number (Area Code) Phone Number (Last 7 Digits) Emergency Contact (Provide 3 emergency contacts)Full Name* Relationship Phone Number (Area Code) Phone Number (Last 7 Digits) Emergency Contact #2 Full Name* Relationship Phone Number (Area Code) Phone Number (Last 7 Digits) Emergency Contact #3 Full Name* Relationship Phone Number (Area Code) Phone Number (Last 7 Digits) CertificationsCertification Location Name Type of Certification Year CompletedCertification #2Certification Location Name Type of Certification Year Completed DegreesDegree Location Name Type of Degree Year CompletedDegree #2Degree Location Name Type of Degree Year Completed Guard Card Number #* Expires* MM slash DD slash YYYY Fire Arms Permit------YesNoPermit # Expires MM slash DD slash YYYY State Caliber .357/.38 9mm 40mm 45mm Shotgun CCW Permit #1* Yes No CCW Permit Number* Expires* MM slash DD slash YYYY State* CCW Permit #2* Yes No CCW Permit Number* Expires* MM slash DD slash YYYY State* CCW Permit #3* Yes No CCW Permit Number* Expires* MM slash DD slash YYYY State* CCW Permit #4* Yes No CCW Permit Number* Expires* MM slash DD slash YYYY State* List Permits HereMace Permit------YesNoPermit # Expires MM slash DD slash YYYY State Pepper Spray Permit------YesNoPermit # Expires MM slash DD slash YYYY State Straight Baton / PR-24 Baton Permit------YesNoPermit # Expires MM slash DD slash YYYY State Taser Gun Permit------YesNoPermit # Expires MM slash DD slash YYYY State Do You Have Another Permit? Yes Permit Name* Permit # Expires* MM slash DD slash YYYY State* Do You Have Another Permit? Yes Permit Name* Permit # Expires* MM slash DD slash YYYY State* Do You Have Another Permit? Yes Permit Name* Permit # Expires* MM slash DD slash YYYY State* Do You Have Law Enforcement Training?* Yes No Agency Name Type of Training From MM slash DD slash YYYY To MM slash DD slash YYYY Agency #2Agency Name Type of Training From MM slash DD slash YYYY To MM slash DD slash YYYY Agency #3Agency Name Type of Training From MM slash DD slash YYYY To MM slash DD slash YYYY Are You Currently With A Law Enforcement Agency?------YesNoIn What Capacity Are You With The Law Enforcement Agency? Active Retired Reserves Auxiliary Other If Other, describe:* Name of Law Enforcement Agency* Phone Number of Agency*Supervisor Name* Year Graduated from Basic Training*Are You Currently With The Department On Probation?*------YesNoDoes Your Agency Currently Permit You To Work Security?------YesNoDoes Your Agency Permit You To Carry Concealed With Your Law Enforcement ID?*------YesNoDo You Have 24 Hour Peace Officer Status With Your Department?------YesNoHow Long Have You Been On The Department?* Military TrainingDo you have military training?------YesNoBranch Date Entered MM slash DD slash YYYY Date Discharged MM slash DD slash YYYY Did You Have A Honorable Discharge------YesNoRank Any Special Training Electronic Signature* I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminatedFull Name* First Last Additional DocumentsResumeAccepted file types: pdf, doc, docx, Max. file size: 100 MB.Permits/Licenses Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 100 MB. Certifications Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 100 MB. Additional Uploads Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 100 MB. Candidates ID’s, Certs, permits etcEmailThis field is for validation purposes and should be left unchanged. Δ
