Applicant Information

Full Name *

Other Names Previously or Currently Used *

Date of Birth *

Social Security Number (Last 4) *

Phone Number *

Email *

Street Address

City

State

Country

Postal Code

Are you legally authorized to work in the United States? *

Yes

If no, are you authorized to work in the United States?

Yes

Have you ever submitted an application with this company before? *

Yes

If Yes, when did you last apply?

Criminal History Disclosure

Have you ever been convicted of a felony? *

Yes

Have you ever been convicted of a misdemeanor that involved violence, theft, or dishonesty? *

Yes

If yes to either, please explain (including dates and locations)

Note: a conviction does not automatically disqualify you. All employment is subject to Nevada PILB background approval

Licensing and Certification

Have you previously held a Nevada Private Investigators Licensing Board (PILB) Guard Card? *

Yes

If yes, please provide card number

Please provide expiration date

Do you have a firearms permit (if applicable)?

Yes

Are you CPR/First Aid Certified? *

Yes

Have you served in the military? *

Yes

If so, what branch?

Skills and Experience

Other relevant skills and experience that you'd like to share

Employment History (Last 5 Years)

Most Recent Employer *

Employer Name
Address
Supervisor
Phone Number
Position Held
Dates Employed To__ From ___
Reason for Leaving

Second Most Recent Employer

Employer Name
Address
Supervisor
Phone Number
Position Held
Dates Employed To__ From ___
Reason for Leaving

Third Most Recent Employer

Employer Name
Address
Supervisor
Phone Number
Position Held
Dates Employed To__ From ___
Reason for Leaving

Fourth Most Recent Employer

Employer Name
Address
Supervisor
Phone Number
Position Held
Dates Employed To__ From ___
Reason for Leaving

Applicant Certification and Authorization

I certify that the information in this application is true and complete to the best of my knowledge. I understand that falsification may result in disqualification or temination of employment. *

Yes

I authorize this company to conduct background checks, employment verification, and reference checks in accordance with Nevada law *

Yes

Please sign with your mouse or touch screen *

Clear

Applicant Name *

Date Signed *