Full Name
Address
Home #
Cell #
Business#
Date Of Birth
Day
Month
Year
Country of Birth
Bermudian YesNo
Social Security Number
Height
Weight
Sex
Person to Contact In Case of Emergency
Schools Attended (Locally/Overseas)
Current Place of Employment
Contact Name
Current Job Description
Previous Employment - Include Business, Start/End Date and Reason for leaving.
Have you worked in the security industry before? YesNo
Where?
And for Whom?
Have you any criminal convictions? YesNo
Have you any traffic violations? YesNo
Do you want to work full-time or part-time?
Select the shift(s) you wish to work DaytimeEveningsNights (12-8)Anytime
Select the number of hours per week you wish to work. (Select 1) 10-2020-4040-5050+
If called on would you mind working a longer shift or extra hours in case of an emergency? YesNo
Are there any days of the week you are unable to work?
Please explain
What transportation do you have? (Select 1) CycleCarTaxiPublic Transport
Vehicle License Number
Do you understand that the nature of security work sometimes requires guards to change locations on short notice? YesNo
Do you accept this? YesNo
Your present health is? (Select 1) ExcellentGoodFair
Name of Doctor
Some of our clients require security staff to submit to a drug test program. Are you willing to undergo such a test? YesNo
Personal References
File Upload
NOTE: 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.
The above is a true record to the best of my knowledge and belief.
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