| WHAT POSISITION WILL YOU BE APPLYING FOR?: |
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PERSONAL INFORMATION |
| First Name: |
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| M.I.: |
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| Last Name: |
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Email Address |
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| Current Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Previous Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Phone Number w/Area Code: |
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| Date you can start: |
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| Salary Desired: |
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| Are you currently employed: |
Yes
No
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| Shifts you can work: |
Days
Swing
Grave |
| Do you have a valid drivers license: |
Yes
No
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| Please indicate your highest level of education completed: |
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| Subjects of special study or research: |
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| Special Training: |
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| Special Skills: |
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| Please indicate why you feel you would be an asset to our corporation: |
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| Please indicate your long term and short term goals: |
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| LICENSES - Disregard if applying CCTV or a dispatcher position |
| Valid CA Guard Permit: |
Yes
No
Lic#
Expiration Date
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| Valid CA Handgun Permit: |
Yes
No
Calibers
Lic#
(Info) |
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Do you own a duty firearm?
Yes
No |
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Do you own a duty belt?
Yes
No (Info)
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| Valid CA Chemical Spray Permit: |
Yes
No
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| Valid CA Baton Permit: |
Yes
No
Lic#
Expiration Date
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| AB2880 Qualified Training? |
Yes
No
Hours?
8
16
32
40+ |
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AB2880 Certifications? Yes
No
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| MILITARY HISTORY |
| Have you ever been in the military: |
Yes
No
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| If so, which branch: |
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| Your specialty: |
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| Conditions under which you were discharged: |
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| EMPLOYMENT HISTORY |
| Have you been a security officer before: |
Yes
No
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| If so, where and when: |
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| Current or most recent employer: |
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| Start date: |
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| Leave date: |
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| Job title: |
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| Starting salary: |
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| Ending salary: |
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| Name of Supervisor: |
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| Phone Number for Supervisor: |
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| May we contact him/her? |
Yes
No
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| Reason for leaving: |
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| Description of your duties: |
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| Next most recent employer: |
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| Start date: |
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| Leave date: |
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| Job title: |
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| Starting salary: |
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| Ending salary: |
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| Name of Supervisor: |
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| Phone Number for Supervisor: |
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| May we contact him/her? |
Yes
No
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| Reason for leaving: |
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| Description of your duties: |
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| CRIMINAL HISTORY |
| Have you ever been convicted of a crime: |
Yes
No
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| If so, please describe: |
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| REFERENCES |
| Name: |
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| Years known: |
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| Phone Number with Area Code: |
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| Name: |
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| Years known: |
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| Phone Number with Area Code: |
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| Name: |
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| Years known: |
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| Phone Number with Area Code: |
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UNIFORM SIZE |
| Shirt |
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| Pants |
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| Jacket |
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