Applicant Information
Full Name
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Other Names Previously or Currently Used
*
Date of Birth
*
Social Security Number (Last 4)
*
Phone Number
*
Email
*
Street Address
City
State
Country
Country
Postal Code
Are you legally authorized to work in the United States?
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Yes
No
If no, are you authorized to work in the United States?
Yes
No
Have you ever submitted an application with this company before?
*
Yes
No
If Yes, when did you last apply?
Position Information
Position You Are Applying For
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Unarmed Guard
Armed Guard
Patrol
Event Security
Type of Employment
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Full-Time
Part-Time
On-Call
What shifts are you available for?
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Days
Swing
Graveyard
Weekends
Holidays
Please provide your approx available start and end times
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What date would you be able to start?
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Do you have reliable transportation?
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Yes
No
Criminal History Disclosure
Have you ever been convicted of a felony?
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Yes
No
Have you ever been convicted of a misdemeanor that involved violence, theft, or dishonesty?
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Yes
No
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?
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Yes
No
If yes, please provide card number
Please provide expiration date
Do you have a firearms permit (if applicable)?
Yes
No
Are you CPR/First Aid Certified?
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Yes
No
Have you served in the military?
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Yes
No
If so, what branch?
Skills and Experience
Please select all skills and experience that apply
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Customer Service
Report Writing
Patrol Experience
Loss Prevention
Surveillance Systems
De-escalation Training
Firearms 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 ___
Responsibilities
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.
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Yes
No
I authorize this company to conduct background checks, employment verification, and reference checks in accordance with Nevada law
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Yes
No
Please sign with your mouse or touch screen
*
Clear
Applicant Name
*
Date Signed
*