CAREER                                                                               

18 years or older and have a security license to apply.

First and Last Name*

Date of Birth*

Social Security #*

Driver License Number*

State of Issue*

Current Address*

*

*

Former Address*

*

*

Email*

Phone*

What position are you applying for?*

Are you 18 years or older?*

Yes

No

Security License #*

Expiration Date*

Security Gun License #*

Expiration Date*

Do you have a Baton Certification?*

Yes

No

Expiration Date*

Do you have an OC Spray Certification?*

Yes

No

Expiration Date*

Have you ever been convicted and had adjudication withheld on any felony or misdemeanor?*

Yes

No

If yes, please describe conditions: (Conviction will not necessarily disqualify an applicant from employment)*

Type of employment desired*

Full Time

Part Temporary

Available start date*

Days Available*

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Shifts Available*

Day Shift

Night Shift

Any Shift

Are you employed now?*

Yes

No

Have you ever worked for a company in our industry before?*

Yes

No

If Yes, when?*

What Company?*

What State?*

Why do you want to work for our company?*

EDUCATION: 1. Type of School* High SchoolTrade SchoolCollege/UniversityOther

Degree Earned*

Yes

No

U.S. Military*

Yes

No

National Guard

Yes

No

Branch:

Position, Title or Summary

Active Now?

WORK EXPERIENCE: List your last two (2) employers, assignments or volunteer activities, starting with the most recent, including military experience. Explain any gaps in employment in the comments section below.*

*

*

*

Address*

*

*

Reason for leaving

Supervisor Name

Contact Phone #

May we contact?

Yes

No

Job Duties

2. Employer (if applicable)

Job Title (if applicable)

Date Employed From / To (if applicable)

Hourly Rate/Salary (if applicable)

Address (if applicable)

Reason for leaving (if applicable)

Supervisor Name (if applicable)

Contact Phone # (if applicable)

May we contact? (if applicable)

Yes

No

Job Duties (if applicable)

APPLICANT STATEMENT: Please read the following statement carefully before submitting this application. Only applications that are complete will be considered. The facts set forth in my application are true and complete to the best of my knowledge, and I have not knowingly omitted any information that was requested. I understand that if employed, false statements, omissions or misleading statements on this application, regardless of the time discovered, shall be cause for dismissal. I agree that my employer shall not be held liable in any respect if my employment is terminated because of such omissions or false or misleading statements. I authorize any present or former employers, schools, credit agency or government agency to release to Bainet Security Agency with any and all such information, which may be related to my employment. I further authorize all work related verification of employment, education, training or other work related information, as well as credit or criminal records checking. I authorize all of this information to be provided to the company or their agent and release them from any liability which might be claimed. If required, I agree to fully participate and complete the required pre-employment drug screening.*

Date*

RELEASE AND AUTHORIZATION STATEMENT: I authorize the procurement of a consumer report on me. In connection with this request, I authorize all corporations, companies, former and current employers, consumer reporting agencies, educational institutions, law enforcement agencies, motor vehicle departments, city, state, county, and federal courts, military services, and persons to release information they may have about me to Bainet Security Agency, with which this form has been filed and release all parties involved from any liability and responsibility for doing so. This authorization, in original, fax or copy form, shall be valid for this and any future reports or updates that may be requested.*

Date*

CAPTCHA Label*
Not readable? Change text.

Submit

.