Employment Applicant Information Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Date of birth * MM DD YYYY Social Security Number Cell Phone * (###) ### #### Other Phone (###) ### #### Email * Position Applied For Armed Security Officer Unarmed Security Officer Date Available * MM DD YYYY Are you a citizen of the United States * Yes No If no, are you authorized to work in the United States? Yes No Have you ever worked for this company? * Yes No If yes, when? Do you have a valid New York State Drivers License? * Yes No Do you have a valid New York State Unarmed Security Guard License? * Yes No Do you have a valid New York State Pistol Permit? * Yes No Do you have a valid New York State Armed Security Guard License? * Yes No Do you have a valid New York State Private Investigator License? * Yes No Have you ever been convicted of a felony? * Yes No If yes, explain Have you ever been terminated by an employer? Yes No If so, explain Have you ever quit from an employer in lieu of termination? Yes No If so, explain Education High School Address Address 1 Address 2 City State/Province Zip/Postal Code Country From MM DD YYYY To MM DD YYYY Currently Enrolled Yes No Did you graduate? Yes No If no, do you have a GED? Yes No College/Trade School 1 Address Address 1 Address 2 City State/Province Zip/Postal Code Country From MM DD YYYY To MM DD YYYY Currently Enrolled Yes No Did you graduate? Yes No Major College/Trade School 2 Address Address 1 Address 2 City State/Province Zip/Postal Code Country From MM DD YYYY To MM DD YYYY Currently Enrolled Yes No Did you graduate? Yes No Major References Reference 1 (Name) Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number (###) ### #### Company (Employer) Relationship Reference 2 (Name) Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number (###) ### #### Company (Employer) Relationship Reference 3 (Name) Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number (###) ### #### Company (Employer) Relationship Work History List employers from most recent to least recent. Employer 1 (Most Recent) Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number (###) ### #### Job Title Responsibilities From MM DD YYYY To MM DD YYYY Current Employer Yes No Reason for leaving Supervisor Name/Job Title Supervisor Phone Number (###) ### #### May we contact your supervisor as a reference? Yes No Employer 2 Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number (###) ### #### Job Title Responsibilities From MM DD YYYY To MM DD YYYY Current Employer Yes No Reason for leaving Supervisor Name/Job Title Supervisor Phone Number (###) ### #### May we contact your supervisor as a reference? Yes No Employer 3 Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number (###) ### #### Job Title Responsibilities From MM DD YYYY To MM DD YYYY Current Employer Yes No Reason for leaving Supervisor Name/Job Title Supervisor Phone Number (###) ### #### May we contact your supervisor as a reference? (###) ### #### Military Service Branch From MM DD YYYY To MM DD YYYY Rank at Dischage Type of Discharge If other than honorable, explain: Disclaimer and Signature Electronic Signature * APPLICANTS ARE CONSIDERED FOR POSITIONS WITHOUT REGARD TO VETERAN STATUS, UNIFORMED SERVICE MEMBER STATUS, RACE, RELIGION, SEX, NATIONAL ORIGIN, AGE, PHYSICAL OR MENTAL DISABILITY, GENETIC INFORMATION OR ANY OTHER CATEGORY PROTECTED BY APPLICABLE FEDERAL, STATE, OR LOCAL LAWS. WATCH GUARD SECURITY & INVESTIGATIONS LLC IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, THE COMPANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver’s license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside. I understand that WATCH GUARD SECURITY & INVESTIGATIONS LLC may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with applicable federal, state, and local law. If WATCH GUARD SECURITY & INVESTIGATIONS LLC has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local law. I also understand that all employees of the location, pursuant to WATCH GUARD SECURITY & INVESTIGATIONS LLC policy and federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with WATCH GUARD SECURITY & INVESTIGATIONS LLC policies and applicable federal, state, and local law. If employed by WATCH GUARD SECURITY & INVESTIGATIONS LLC, I understand and agree that WATCH GUARD SECURITY & INVESTIGATIONS LLC, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property. I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, restrictive covenant, and/or conflict of interest statement, as well as an agreement to arbitrate. I certify that all the information on this application, my résumé, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification form consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal. I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. First Name Last Name Date * MM DD YYYY Your application has been received, Thank you!
