EMPLOYMENT APPLICATION POSITION(S) APPLYING FOR UNARMED PATROL OFFICER (MUST BE 18 YRS OF AGE), Requirements: (PERC/ 20 Hour Unarmed Training)ARMED SECURITY OFFICER (MUST BE 21 YRS OF AGE), Requirements: (FOID Card/PERC/40 Hour Training)RETAIL STAFF (REQUIRES BLACK SUIT), Requirements: (MUST BE 21 YRS OF AGE/PERC/ 20 Hour Unarmed Training)EVENT STAFF (MAY REQUIRE BLACK SUIT), Requirements: (MUST BE 18 YRS OF AGE)ON-CALL FOR POSITIONS SELECTED Current FCC Holder?YesNo APPLICANT INFORMATION Full Name: Date: Address: Primary Contact Number:Secondary Contact Number: Email: Emergency Contact:Relationship:Phone #: QUALIFICATION QUESTIONS --Select All That Apply-- Date Available to Start Working if Hired: What days are you willing to work?MonTueWedThuFriSatSun What shifts are you willing to work?1st2nd3rd Are you willing to work Holidays?YesNo Any Restrictions?YesNo If YES Please List: Do you have reliable transportation? (Personal Vehicle, CTA, Etc.)YesNo If YES Please List: Do you have reliable communication?YesNo If YES List Type of Phone and Service: If not a U.S. citizen, have you the legal right to remain/work in the United States?YesNo Permanent Employee Registration Card (PERC)?YesNo If YES, Please Provide LIC #: Firearms Owner’s Identification Card (FOID)?YesNo If YES, Please Provide LIC #: Original Firearms Training (Semi-Auto Required)YesNo If YES, Please Provide LIC #: GENERAL QUESTIONS: Are you currently suffering from habitual drunkenness or any narcotic addiction?YesNo Are you willing to take a drug test?YesNo Will you notify your supervisor 24hrs before your shift if you are not able to work?YesNo Do you have any pre-existing conditions that would limit your work ability?YesNo If YES, what are they? Are you willing to take a Physical Test/Examination?YesNo Do you understand the adherent risks of working in the Security/Law Enforcement field? (extreme weather, violence, other)YesNo Why do you want to get into this kind of work? Why do you think you are qualified for this position? Do you speak any other languages? List the languages: TRAINING BACKGROUND: HANDCUFF TRAINEDYesNo If YES, When and Where: BATON TRAINEDYesNo If YES, When and Where: TASER TRAINEDYesNo If YES, When and Where: Have you ever served in Military Service?YesNo Can You Provide Discharge Papers?YesNo Do you have any experience in the Security/Law enforcement?YesNo If YES, what company did you work for and what were your job duties? EDUCATION High School or G.E.D Completed?YesNo Name of School: College Name:Completed?YesNoCourse Study: Strength/Skills/Certifications: Other Information you would like considered: WORK HISTORY Company Name:Start Date:End Date: Address: Phone Number:Manager:May We Contact? YesNo Job Duties: Reason You Left: Company Name:Start Date:End Date: Address: Phone Number:Manager:May We Contact? YesNo Job Duties: Reason You Left: Company Name:Start Date:End Date: Address: Phone Number:Manager:May We Contact? YesNo Job Duties: Reason You Left: REFERENCES -List two references that are familiar with your work history and experience- Name:Relationship:Years Known: Phone Number:City Residing In: Name:Relationship:Years Known: Phone Number:City Residing In: APPLICANT AGREEMENT I hereby certify that all answers to the questions herein are true, accurate and complete to the best of my knowledge. I agree and understand that any false statements, misrepresentations or omissions of fact contained in this application (or any other accompanying or required documents) may cause the rejection of this application or termination of employment without notice, regardless of how and/or when discovered. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with organization is of an “at will” nature, which means that the Employee may resign any time and the Employer may discharge Employee at any time with or without a reason. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. I understand that all candidates hired are subject to satisfactory completion of a 90 day introductory period. I release Advanced Security Solutions from any and all liability that might result from conducting a background investigation. I also release from liability anyone supplying information pursuant to such investigation. I understand that this application is not, nor is it intended to be, a contract of employment. If hired, I agree to abide by all applicable Advanced Security Solutions rules, regulations, and drug screening. PRINT NAME: Use your mouse or fingertip to put your signature in the box below DATE: Δ
