Application for Employment
Equal access to programs, services and employment is available to all persons.
Position applied for__________________________ Date of application_______________
Full LEGAL Name________________________ Date of Birth_____________________ Address____________________ City________________ State_________________ Zip___________ Telephone ________________________
Social Security Number_____________________ Best Time to call you at home_____________
Have you file an application here before? Yes _____ No _____
Have you been employed here before? Yes _____ No _____ If yes, give date_________________________
Are you legally eligible for employment in this country? Yes _____ No _____
Date available for work________________ Type of employment desired: Full time______ Part time_____
Are you on lay-off subject to recall? Yes _____ No _____
Will you re-locate if job requires? Yes _____ No _____
Will you travel if job requires? Yes _____ No _____ Have you ever been bonded?Yes _____ No _____
Are you currently or have you been ordered to pay child support pursuant to a court order? Yes _____ No _____ Driver’s License number___________________________ State___________________________
Are you able to meet the attendance requirements of the position? Yes _____ No _____
A. Last three (3) schools attended, starting with most recent. B. List number of years completed. C. Indicate degree of diploma earned if any. D. Grade point average or class rank. E. Major and minor field of study.
List any foreign Language(s) you speak fluently_________________________________________________
List professional, trade, business or civic associations and any offices held. (Exclude memberships which would reveal sex, race, religion, national origin, age, color, disability, or other protected status)
List special accomplishments, publications, awards (exclude information which would reveal sex, race, religion, national origin, age, color, disability or other protected status)
List any additional information you would like us to consider.
Skills and Qualifications – Summarize any special training, skills, licenses, certificates and/or characteristics of yourself that may qualify you for being able to perform job-related functions for the position you are applying
It is understood and agreed upon that any misrepresentation by me on this application will be sufficient cause for cancellation of this application and/or separation from the employer’s service if I have been employed.
I understand that I may be requested to work 1st, 2nd or 3rd shift. S.W.A.T. Patrol Security is a 24 hour service that works 365 days of the year. Please initial here___________
I hereby release from liability the employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information._____
The employer is an Equal Opportunity employer. The employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local state or federal law.
This application is current for only 60 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application.
I understand that just as I am free to resign at any time – 2 weeks noticed would be preferred. The employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the employer has the authority to make assurances to the contrary.______
I understand it is the company’s policy not to refuse to hire a qualified individual with a disability because of this person’s need for an accommodation that would be required by the ADA._____
I understand that I could be subject to work 1st, 2nd or 3rd shift ___________ Applicant’s Initials
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