"One of the top 40 security guard service companies in the nation."

	Last Name:	First Name: MI
	Social Security #:	(no dashes or spaces)
	Address:
	City:	State:     Zip:
	Telephone:	Mobile/Beeper:
	E-Mail:
	Drivers License:

	If you are 18, and it is required, can you furnish a work permit ?	Yes No
	If no please explain:
	Have you ever been employed here before ?	Yes No
	If yes give dates and positions...
	Are you legally eligible for employment in this country ?	Yes No
	Date available for work ?
	Desired salary range ?
	Type of employment desired:       Full-Time Part-Time Temporary Seasonal Educational Co-Op
	Are you able to meet the attendance requirements of the position ?	Yes No
	Have you ever pled "guilty" or "no-contest" to, or been convicted of a crime ?	Yes No
	If yes please provide date(s) and details:
	Answering yes to these questions does not constitute an automatic bar to employment.  Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will all be taken into account.

	Employment History
	Starting with your most recent employer, assignments or volunteer activities, provide the following information.

	From	To:	Employer:		Phone:
	Starting Job title / final job title:		Street Address:
	Immediate supervisor & title:		Summarize the nature of work performed and job responsibilities:

	May we contact for reference ?  Yes No  Later		Compensation:   Hourly Salary	Start $ Per   Final $ Per
	Reason for leaving:		Commission Bonus	Amount Est.

	From	To:	Employer:		Phone:
	Starting Job title / final job title:		Street Address:
	Immediate supervisor & title:		Summarize the nature of work performed and job responsibilities:

	May we contact for reference ?  Yes No  Later		Compensation:   Hourly Salary	Start $ Per   Final $ Per
	Reason for leaving:		Commission Bonus	Amount Est.

	From	To:	Employer:		Phone:
	Starting Job title / final job title:		Street Address:
	Immediate supervisor & title:		Summarize the nature of work performed and job responsibilities:

	May we contact for reference ?  Yes No  Later		Compensation:   Hourly Salary	Start $ Per   Final $ Per
	Reason for leaving:		Commission Bonus	Amount Est.

	From	To:	Employer:		Phone:
	Starting Job title / final job title:		Street Address:
	Immediate supervisor & title:		Summarize the nature of work performed and job responsibilities:

	May we contact for reference ?  Yes No  Later		Compensation:   Hourly Salary	Start $ Per   Final $ Per
	Reason for leaving:		Commission Bonus	Amount Est.

	Skills and Qualifications
	Word / WordPerfect  Excel / Lotus MS Office / Corel Power Point Internet
	Summarize any training, skills, licenses that may assist you in the position for which you are applying:

	Educational Background
	School (City & State)	Years  Completed	Level of  Completion	Course Of Study

	References
	Name	Title	Relationship	Telephone	Years Known

	Applicant Statement
	I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. I expressly authorize, without reservation, the employer, it's representatives, employers or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview.  I herby waive any and all rights and claims I may have regarding the employer, it's agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law. I understand that this application remains current for 30 days only.  At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law.  This application does not constitute an agreement or contract for employment for any specified period or definite duration.  I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreement contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard. I understand that any information provided by me that is found to be false incomplete or misrepresented in any respect, will by sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered.
	Do not click on submit until you have read the above applicant statement. I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statment.