Position applying for Event Security Boat Operator K-9 Handler Uniform Security Guard Support Staff Bouncer PERSONAL INFORMATION Phone Email * Social Security Number Driver's License # State I am a citizen or otherwise authorized to work in the United States or Poland on an unrestricted basis If applicable, please list your visa type, visa # and expiration Have you ever been convicted of a felony or a misdemeanor? If you answered yes, please explain Have you ever served in the Military? If yes, please provide the following information: Branch of Services Rank at the time of seperation I served from ___ to ___ Special Honors EMPLOYMENT HISTORY Present or Most Recent Employer Your Position Salary Duties Date of Employment from ___ to ___ Supervisor Name and Title Prior Employer 2 Your Position Salary Duties Date of Employment from ___ to ___ Supervisor Name and Title Prior Employer 3 Your Position Salary Duties Date of Employment from ___ to ___ Supervisor Name and Title EDUCATION HIGH SCHOOL Name Attended from ___ to ___ Degree or Certification Specialty Special Honors or Awards TECHNICAL OR VOCATIONAL SCHOOL including Police, Sheriff, Correctional Academies Name Attended from ___ to ___ Degree or Certification Specialty Special Honors or Awards COLLEGE OR UNIVERSITY Name Attended from ___ to ___ Degree or Certification Major Special Honors or Awards Name Attended from ___ to ___ Degree or Certification Major Special Honors or Awards POSITION SPECIFICATION Position applying for How did you hear about this job? What hours are you willing to work? Would yo ube able to work weekends? Are you willing to travel for the job? When would you be able to start? Desired Salary: ___ per ___ SKILLS Please describe any skills you have in the following areas: computers, firearms, baton, defensive tactics, diver certification, EMT, CDL licenses, captain license, narcotics investigations, interview techniques, or ANY other advanced training Do you possess a valid pistol permit? If yes, please provide the jurisdiction and permit number & type Do you posses a valid security guard certification? If yes, please provide your unique ID no. If you are exempt, pursuant to law, please explain
I hereby certify that my answers and assertions set forth in this application are true and complete to the best of my knowledge. If I am employed, I understand that any false statements on this application shall be considered sufficient cause for my dismissal. I hereby authorize you to investigate any aspect of my prior educational, employment history, and other relevant matters. Furhtermore, I understand that if I am hired, employment is "at will", which means that either you or I can terminate my employment for any reason not prohibited by law.