Employment Application

Applicant Information

First Name:
Last Name:
Middle Initial:
Street Address:
Apt #:
City:
State:
Zip:
Phone Number:
Emal Address:
Date Available: 
Desired Salary: 
Desired Shift: 
Position Applied for:
How did you hear about us?
Are you a citizen of the United States?
YesNo
If no, are you authorized to work in the U.S.?
YesNo
Have you ever worked for this company?
YesNo
If so, when?
Have you ever been convicted of a felony?
YesNo
If yes, explain
Do you have a valid driver's license?
YesNo
Comments (optional)
Do you have a clean driving record?
YesNo
Comments (optional)
Do you have transportation?
YesNo
Comments (optional)
Do you have your own vehicle?
YesNo
Comments (optional)
If yes, are you willing to use that vehicle for mobile
patrol if needed?

YesNo
Comments (optional)
Are you able to pass a background check
AND drug screening?

YesNo
Comments (optional)
Do you have any medical conditions that would restrict you from doing certain job duties? Heavy lifting, sitting/standing for long periods of time etc.
YesNo
Comments (optional)
Do you have a military background?
If so, what branch of service?

YesNo
Comments (optional)
Do you have a concealed pistol license (CPL)?
YesNo
Comments (optional)

Education

High School 
Address 
From   To 
Did you graduate?
YesNo
Degree 
College 
Address 
From   To 
Did you graduate?
YesNo
Degree 
Other 
Address 
From   To 
Did you graduate?
YesNo
Degree 


References

Full Name 
Relationship 
Company 
Phone 
Address 
Full Name 
Relationship 
Company 
Phone 
Address 
Full Name 
Relationship 
Company 
Phone 
Address 

Previous Employment

Company 
Phone Number 
Address 
Supervisor 
Job Title 
Starting Salary 
Ending Salary 
Responsibilities
From   To 
Reason for Leaving
May we contact your previous supervisor for a reference?YesNo
Company 
Phone Number 
Address 
Supervisor 
Job Title 
Starting Salary 
Ending Salary 
Responsibilities
From   To 
Reason for Leaving
May we contact your previous supervisor for a reference?YesNo
Company 
Phone Number 
Address 
Supervisor 
Job Title 
Starting Salary 
Ending Salary 
Responsibilities
From   To 
Reason for Leaving
May we contact your previous supervisor for a reference?YesNo


Military Service

Branch 
From  To 
Rank at Discharge 
Type of Discharge 
If other than honorable, explain


Attach Resume

If you would like to include a resume with your application, you may use the upload field below.

By submitting this application, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.