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Guard Application

Personal Information
Name *
Name
Residence & Contact Info
Address
Address
Cellphone *
Cellphone
Other Contact #
Other Contact #
Let us know the name, number and relationship of your emergency contact.
Work Info
Employment Info - Military History
Veteran
Honorable Discharge?
Date of Entry
Date of Entry
Date of Separation
Date of Separation
Employment Info - Previous Experience
Tell us about any non-work related stuff you do!
References
Reference One *
Reference One
Phone *
Phone
Who is this person to you? How long have you known each other?
Education
Please tell us the name of any schools you have attended as well as their location and whether or not you graduated. A GED or High School Diploma is required.
Let us know about any other types of training you have and when you were certified
Criminal History
Have you ever been convicted, forfeited bond, or are you currently on probation for any felony in a court of law or general court martial?
Include date, charge, place, court and action taken. You must disclose any conviction involving a sentence or suspended sentence. A conviction will not necessarily disqualify you from the job for which you are applying. A conviction will be judged on its own merits with respect to time, circumstances, and seriousness.
Signature
By typing your name and the date below you agree to the following: I certify that the information given in this application is correct and complete to the best of my knowledge. I am aware that should an investigation show any falsification, I will not be considered for employment, or if employed, I will be dismissed and disqualified from future consideration. I hereby authorize Premier Protective Security, Inc. to make all necessary investigations concerning me or my actions and to receive and make available to Premier Protective Security, Inc. my academic records or other materials pertinent to my qualifications. I further authorize and request each former employer, education institution, or organization (including law enforcement agencies) to provide all information that may be sought in connection with this application.
Signature *
Signature
Date Signed *
Date Signed