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Personal Information
First Name
Middle
Last
Email
Phone
Present address
Street
City
State
Zip
Permanent Address
Street
City
State
Zip
I am 18 years of age or older
I am either a U.S. citizen or alien authorized to work in the U.S.
Place of birth: City
State
Country
In case of emergency notify
Name
Phone
Address
Employment Desired
Position Desired
(Please select a position)
Security Officer - Armed
Security Officer - Unarmed
Administrative/Office
Sales
Electronic/Locksmith
Full Time
Part Time
Date you can start
Salary Desired
Are you employed now?
No
Yes
If so, may we inquire with your present employer?
No
Yes
Have you ever applied to this company before?
No
Yes
If so, when?
Referred by
General
Special Skills
Special training (list any certifications you have)
Have you ever been convicted of a crime?
No
Yes
If yes, please explain
U.S. Military or Naval Service
Rank
Present membership in National Guard or Reserves
none
National Guard
Reserves
Are you currently Virginia DCJS certified as a security officer?
No
Yes
If yes, DCJS ID No.
Certifications
Unarmed expires
Firearms expires
Security Experience
I understand that I must pass a background investigation and drug testing
Education
High School Name
Years completed
Subjects studied
Graduated?
Currently Enrolled?
College Name
Years completed
Subjects studied
Graduated?
Currently Enrolled?
Other Name
Years completed
Subjects studied
Graduated?
Currently Enrolled?
Former Employers
From
To
Employer Name
Employer Address
Contact person
Contact phone
Ending salary
Position
Reason for leaving
From
To
Employer Name
Employer Address
Contact Name
Contact Phone
Ending Salary
Position
Reason for leaving
From
To
Employer Name
Employer Address
Contact Name
Contact Phone
Ending Salary
Position
Reason for leaving
From
To
Employer Name
Employer Address
Contact Name
Contact Phone
Ending Salary
Position
Reason for leaving
From
To
Employer Name
Employer Address
Contact Name
Contact Phone
Ending Salary
Position
Reason for leaving
Which of these jobs did you like best?
What did you like most about this job?
References
Name
Phone
Occupation
Years Known
Name
Phone
Occupation
Years Known
Name
Phone
Occupation
Years Known
Notes
Please upload your resume
