Country of Birth
Social Security Number
Person to Contact In Case of Emergency
Schools Attended (Locally/Overseas)
Current Place of Employment
Current Job Description
Previous Employment - Include Business, Start/End Date and Reason for leaving.
Have you worked in the security industry before?
And for Whom?
Have you any criminal convictions?
Have you any traffic violations?
Do you want to work full-time or part-time?
Select the shift(s) you wish to work
Select the number of hours per week you wish to work. (Select 1)
If called on would you mind working a longer shift or extra hours in case of an emergency?
Are there any days of the week you are unable to work?
What transportation do you have? (Select 1)
Vehicle License Number
Do you understand that the nature of security work sometimes requires guards to change locations on short notice?
Do you accept this?
Your present health is? (Select 1)
Name of Doctor
1. This office will contact both references.
2. Police conduct a background check before they license you as a security guard.
3. The cost of the license will be deducted from your first week's paycheck.
4. You are being hired as a uniformed guard and you will be required to wear the full uniform.