All Employment Candidates/Employees As a Candidate, You are Responsible to: Notify your Investigator or the Applicant Investigation Unit if you:
Change your address
Change your phone number or e-mail
Change your employment
Change of citizenship
Notify office of any other names used
Change any other pertinent information
Receive any traffic violations, have a motor vehicle accident, or ANY involvement with a
law enforcement agency. (Includes ANY contact: arrest/summons, citations/warnings,
detention without charges)
Remember that failing to provide the required documents listed on the instruction sheet
may postpone any hiring you may be in contention for
I have read the above Stipulation and i understand them. My Participation is thhis background investigation is voluntary
Agreed
Application of Employment
It is our policy to provide equal employment opportunities to all qualified persons
without regard to race, creed, color, religious belief, sex, age, national origin,
physical or mental handicap or veteran status.
Note: Please type or print your answers. If you print, please do so in black ink and write neatly.
An illegible application may preclude you from consideration.
Position Applying For:
Dispatcher
Loss Prevention Agent
Patrol Officer
Security Officer
Security Guard
Check Position
Personal Information
First Name
Middle Name
Last Name
Street and Apt. #
City
State
Zip Code
How long have you lived at this address?
If less than three years, list your prior
addresses:
Home Telephone:
Work Telephone:
Mobile Telephone:
E-mail:
Social Security #:
Driver's License #:
State:
I am a Citizen or otherwise authorized to work in the United States on an unrestricted basis:
Yes
No
If applicable, please list your visa type, visa # and expiration:
Have you ever been convicted of a felony or a misdemeanor?
Yes
No
If you answered yes, please explain and include charge, city and state, date and disposition:
Employment History
All Information must be completely filled out or provided on a resume.
Present or Most Recent Employer
Employer:
Address:
Phone :
Your Position:
Starting Salary :
Ending Salary
Duties :
Dates of Employment :
to
Supervisor:
May we contact?
Yes
No
Reasons for Leaving :
Prior Employer
Employer:
Address:
Phone :
Your Position:
Starting Salary :
Duties :
Dates of Employment :
to
Supervisor:
May we contact?
Yes
No
Reasons for Leaving :
Prior Employer
Employer:
Address:
Phone :
Your Position:
Starting Salary :
Duties :
Dates of Employment :
to
Supervisor:
May we contact?
Yes
No
Reasons for Leaving :
Prior Employer
Employer:
Address:
Phone :
Your Position:
Starting Salary :
Duties :
Dates of Employment :
to
Supervisor:
May we contact?
Yes
No
Reasons for Leaving :
Prior Employer
Employer:
Address:
Phone :
Your Position:
Starting Salary :
Duties :
Dates of Employment :
to
Supervisor:
May we contact?
Yes
No
Reasons for Leaving :
Prior Employer
Employer:
Address:
Phone :
Your Position:
Starting Salary :
Duties :
Dates of Employment :
to
Supervisor:
May we contact?
Yes
No
Reasons for Leaving :
Military Service Record
Were you in the U.S. Armed Forces?
Yes
No
If yes what branch?
Date Started
Date Ended
Total time in service:
Highest rank achieved:
Type of Discharge
Honerable
Dishonorable
Others
Are you in Military Reserves
Yes
No
What Batch?
How Ofter do youreport for duties
Weekly
Monthly
Others
Explain
Supervisor:
May we contact?
Yes
No
Education
High School
Name and Address
Did you Graduate
Yes
No
Attended from
to
Degree or Certification :
Specialty:
Special honors or awards
Technical or Vocational School including Police, Sheriff, Correctional Academies
Name and Address
Did you Graduate
Yes
No
Attended from
to
Degree or Certification :
Specialty:
Special honors or awards
College or University
Name and Address
Did you Graduate
Yes
No
Attended from
to
Degree or Certification :
Specialty:
Special honors or awards
College or University
Name and Address
Did you Graduate
Yes
No
Attended from
to
Degree or Certification :
Specialty:
Special honors or awards
Position Specifications
Position Applying For:
How did you hear about this job?
What hours are you willing to work?
Would you be able to work weekends?
Yes
No
Are you willing to travel for the job?
Yes
No
When would you be able to start?
Yes
No
Desired salary :
Per
Skills
Please describe any skills you have in the following areas:
Computers, firearms, baton, defensive tactics, diver certifications, EMT, CDL licenses, captain license, narcotics investigations, interview techniques, or ANY other advanced training:
Do you possess a valid pistol permit? If yes, provide the jurisdiction and permit number & type:
Do you possess a valid security guard certification? If yes, provide your Unique ID No. If you are exempt, pursuant to law, please explain below:
Please Read And Accept
This application shall be considered active for no more than 45 days after the date submitted. After that time applicants will be required to resubmit a new application.
I have read and understand all sections of this employment application. All statements written by me are true and complete. I also understand that any false statements on this application or any future document I will be required to fill out, including but not limited to any and all forms I will be preparing in the course of my duties shall be considered sufficient cause for dismissal.
I hereby authorize Metro Safety Intelligence Inc. to investigate any aspect of my prior educational, employment history, and other relevant matters. Furthermore, I understand that if I am hired, employment is "at will," which means that either you or I can terminate my employment for any reason not prohibited by law. I further understand that if employed, I will be required to abide by all they're rules and procedures. Failure to do so could result in my termination of employment.