APPLICATION FOR SECURITY OFFICER

Personal Information

First Name *

Last Name *

Address *

City *

State *

Postal code *

Phone *

Email *

Date of birth *

License Number *

License Issue Date *

Social Security Number *

Position Applying For *

Armed officer
Un-Armed Officer
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Type of Work Applying for

Full-Time

Part-Time

Temporary / Contract

Will You Work Overtime?

Yes

Date Available to Start *

If hired, can you provide proof that you are authorized AND of legal age to work in U.S.

Yes

Education

Highest Level Of Education *

Highest Level Of Education

G.E.D.
High School Diploma
Technical School
Some College
Associates
Degree
Masters Degree
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Name of School

Course of Study

Degree or Certificate Earned

Please List any other Certifications, Degrees or Skills you obtain that may relate to the position you are applying for.

Have you had First-Aid Training?

Yes

Date First-Aid Training was Completed

Have you had CPR Training?

Yes

Date CPR Training was Completed

What skills or qualifications make you the best candidate? *

Current and/or Previous Employers

Employer 1 *

Company Name
Job Title
Length of Employment
Start date
End Date
Responsibilities
Reason for Leaving
Supervisors Name

Employer 2 *

Comany Name
Job Title
Length of Employment
Start Date
End Date
Responsibilities
Reason for Leaving
Supervisors Name

Upload Resume ( If Available )

Military Status

Have you Served in the U.S. Armed Services?

Yes

What Branch did you Serve in?

Military Start Date

Military End Date

Rank/Rate at Discharge

Type of Service

Type of Discharge

Reserve Status

Special Training/Experience Received in the U.S. Armed Services

Criminal History

Have you ever been CONVICTED of a criminal offense?

Yes

Do you currently have any criminal actions pending in which you are the Defendant?

Yes

Are you currently on Probation or Parole?

Yes

If "YES" to ANY of the above questions, please explain the nature of the offense and provide the date of the offense and the county and state in which it occurred.

Personal References

Personal Reference 1 *

Name
Number
Occupation
Relationship

Personal Reference 2 *

Name
Number
Occupation
Relationship

Personal Reference 3

Name
Number
Occupation
Relationship

Applicant Statement (Read and Sign Below)

I certify that this employment application was completed by me and that all of the information on this application is true and correct to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of facts called for herein will result in my disqualification from further consideration or dismissal from employment if I am hired. I have reviewed the Authorization for Criminal Records Verification and Fingerprint Information and acknowledge that I understand the terms set forth therein. I understand that this employment application is not valid without my signature.

Signature *

Clear

Date of Signature *