Application Application as: Armed Security Unarmed Security Executive Protection Nightlife Security Special Events Applicant Information Full Name DL/ID# State Expires Home Address Phone Number (cell) Phone Number (secondary) Email Address 1. If employed, how soon can you report to work? 2. Type of employment: Full-Time Part-Time Temporary 3. What is your desired salary? Minimum Salary per hour Maximum salary per hour 4. Preferred workdays/times: 5. Are you currently employed? Yes No 6. Do you have prior security experience? Yes No 7. Have you ever worked for this company before? Yes No 8. Are you able to meet attendance requirements for the job? Yes No 9. Do you have transportation to & from work? Yes No 10. Are you a citizen of the United States or a legal resident? Yes No 11. What is your preferred language? 12. Are you bilingual? Yes No 13. If yes, which language(s)? 14. Are you a current or retired law enforcement officer, if so what agency and dates? 15. Have you ever been convicted of a crime or any offense, do not include minor traffic infractions? Yes No 16. Are there any criminal charges pending against you in any court? Yes No 17. Have you ever been discharged from a correctional or law enforcement agency for incompetence or misconduct or resigned by such agency while charged with misconduct? Yes No 18. Have you ever been declared incompetent by reason of mental disease or defect, which has not been removed by any court? Yes No Space to complete explanations for Questions 15-18 19. Have you ever served in the US Armed Forces, including Reserves or National Guards, if so what branch? 20. Were you discharged in any other means than honorable, if yes please explain? 21. Are you still currently serving as a military member, if yes provide copy of DD214? EMPLOYMENT HISTORY (1) Company 1 Name Company 1 Address Company 1 Telephone Company 1 Hours Worked Per Week Company 1 Dates of Employment Company 1 Position Company 1 Duties EMPLOYMENT HISTORY (2) Company 2 Name Company 2 Address Company 2 Telephone Company 2 Hours Worked Per Week Company 2 Dates of Employment Company 2 Position Company 2 Duties EMPLOYMENT HISTORY (3) Company 3 Name Company 3 Address Company 3 Telephone Company 3 Hours Worked Per Week Company 3 Dates of Employment Company 3 Position Company 3 Duties EDUCATION High School College/University Other License and Certification 1. Type, Time Held, Expiration Date 2. Type, Time Held, Expiration Date 3. Type, Time Held, Expiration Date How did you hear about Unsullied Security Defense Agency? Indeed Social Media Friend Referral Other Send
