Employment application

Employment Application

Please complete the entire application

Employer Information

It is the policy of Advance On-Site Protection Security to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

Applicant Information

Applicant Full Name

Home Address

City, State Zip

Number of years at this address

Daytime phone

Evening Phone

Mobile Phone

Social Security Number

Drivers License Number

Date of Birth

Emergency Contact

Who should be contacted if you are involved in an emergency?

Contact Name

Relationship To You

Address

City, State Zip

Daytime Phone

Evening Phone

Position Information

Position Applied For

Salary Desired

Who Referred You?

Do you have friends or relatives who work here? If yes list here:

Have you applied to our company previously? If yes, when?

Are you at least 18 years old?YesNo
How will you get to work?

Are you willing to work any shift, including nights and weekendsYesNo
If no, please state any limitations:

If applicable, are you available to work overtime?YesNo
If you are offered employment, when would you be available to begin work?

If hired, are you able to submit proof that you are legally eligible for employment in the United States?YesNo
Are you able to perform the essential functions of the job position you seek with or without reasonable accommodation?YesNo
What reasonable accommodation, if any, would you request?

Applicant's Skills

List any other skills that may be useful for the job you are seeking. Enter the number of years of experience and circle the number which corresponds to your ability for each skill. (One represents poor ability, while five represents exceptional ability.)

Applicant Employment History

List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment.

Employer 1

Employer Name
Supervisor Name
Address
City, State Zip
Job Duties
Employer Name
Dates of Employment (Month/Year):

Employer 2

Employer Name
Supervisor Name
Address
City, State Zip
Job Duties
Employer Name
Dates of Employment (Month/Year):

Employer 3

Employer Name
Supervisor Name
Address
City, State Zip
Job Duties
Employer Name
Dates of Employment (Month/Year):

Applicant's Education and Training

College/University Name and Address

High School/GED Name and Address
Did you receive a degree? YesNo

Other Training (graduate, technical, vocational):

Please indicate any current professional licenses or certifications that you hold:

Awards, Honors, Special Achievements:

Did you serve in the military

References

List any two non-relatives who would be willing to provide a reference for you.

Name
Address
City/State/ZIP
Telephone:
Relationship

Name
Address
City/State/ZIP
Telephone:
Relationship

Other Information

Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer:

CERTIFICATION

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize Advance On-Site Protection Security to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Owner, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Advance On-Site Protection Security, except in a specific written contract of employment signed on behalf of the organization by its Owner, has the power to alter or vary the voluntary nature of the employment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.