Name and Contact Information |
First Name (*) |
Please enter your first name. |
Middle Initial |
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Last Name (*) |
Please enter your last name.
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Street Address (No PO Boxes Allowed) |
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City |
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State |
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Zip Code |
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(xxxxx-xxxx) |
Home Phone |
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(xxx-xxx-xxxx) |
Other Phone |
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(xxx-xxx-xxxx) |
Email Address (*) |
Please enter your email address.
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Position Information |
Have you ever applied for work with Eagle Protection Services before? |
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Position you are applying for: (Hold down the Ctrl button to make multiple selections) |
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Are you seeking full or part time work? (Hold down the Ctrl button to make multiple selections) |
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What days are you available to work? (Hold down the Ctrl button to make multiple selections) |
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What times are you willing to work? (Hold down the Ctrl button to make multiple selections) |
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If employed and you are under 18 can you furnish a work permit? |
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Do you have a valid drivers license? |
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Do you have reliable transportation? |
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Are you willing to travel up to 40 miles one way from your home to a job site? |
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What is your level of formal education? |
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What languages do you speak? (Hold down the Ctrl button to make multiple selections) |
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Guard/Military Experience |
Have you served in the US military? |
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If yes, please select which branch: |
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If you served in a foreign military, enter country/branch: |
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Current status: |
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License Information |
Please indicate the Security Guard licenses you possess. Check all that apply. |
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Legal Information |
Have you ever been convicted of a misdemeanor or felony? |
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If you answered yes to being convicted of a misdemeanor or felony please explain: |
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The nature of security work is demanding physically and mentally. It requires walking for long periods of time, running, bike riding, lifting, pushing, pulling & bending. It also requires mental acuity in judgment, observation and memory, vision to see near & far and hearing others speak. Do you have any limitations that will prevent you from performing your duties & responsibilities in an emergency situation that may involve some or all of the physical and mental demands above? |
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If yes, please explain your limitations : |
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Eagle Protection Services maintains a crime and drug free work environment. To apply for a employment you acknowledge your willingness to submit to a criminal background check and an initial drug test and if employed to fingerprinting and random drug testing as a requirement for employment. |
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For purposes of compliance with The Immigration Reform and Control Act, are you legally eligible for employment in the United States? Under the Immigration Reform and Control Act of 1986, you will be required to fill out a certification verifying that you are eligible to be employed and verifying your identity. Further, you will be required to provide documentation to that effect should you be employed. |
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Employment History |
May we contact your current employer? |
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Are there any employers you do not want us to contact? (Please list in the box to the right the names of any employers that we do no have your permission to contact.) |
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Current or Most Recent Employer Name: |
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City, State, Zip |
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Employer's Phone No.: |
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Immediate Supervisor's Full Name: |
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Start Date: |
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(mm/dd/yy) |
End Date: (if currently employed leave blank) |
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(mm/dd/yy) |
Current Salary: (hourly) |
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(00.00) |
Your Job Duties & Responsibilities: |
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Reason for leaving: |
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Previous Employer 2 Name: |
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City, State, Zip |
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Employer's Phone No.: |
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Immediate Supervisor's Full Name: |
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Start Date: |
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(mm/dd/yy) |
End Date: |
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(mm/dd/yy) |
Ending Salary: (hourly) |
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Your Job Duties & Responsibilities: |
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Reason for leaving: |
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Previous Employer 3 Name: |
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City, State, Zip |
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Employer's Phone No.: |
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Immediate Supervisor's Full Name: |
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Start Date: |
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(mm/dd/yy) |
End Date: |
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Ending Salary: (hourly) |
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Your Job Duties & Responsibilities: |
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Reason for leaving: |
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Personal References |
Reference 1 Full Name: |
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Phone No. |
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(xxx-xxx-xxxx) |
Reference 2 Full Name: |
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Phone No. |
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(xxx-xxx-xxxx) |
Reference 3 Full Name: |
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Phone No. |
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(xxx-xxx-xxxx) |
Signature |
I hereby certify that all entries are true and complete, and I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part of any employment in the service of Eagle Protection Services, Inc.. I understand that all information on this application is subject to verification and I consent to criminal history background checks. I also consent that you may contact references, former employers and educational institutions listed regarding this application. I further authorize Eagle Protection Services, Inc. to rely upon and use, as it sees fit, any information received from such contacts. Information contained on this application may be disseminated to other government and nongovernmental organizations or systems on a need-to-know basis for good cause shown as determined by law or Eagle Protection Services, Inc.
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I have read and understand the above. (You MUST type in capital letters "YES" to continue) (*) |
Must confirm that you read terms.
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I completed this application on: (*) |
Must give the date of application.
(mm/dd/yy) |
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By clicking the SUBMIT button below I agree and understand that I am digitally signing this application for employment. Information about my computer and I.P. address are also being recorded with my consent.
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Yes I agree to all the terms in this application for employment. (You MUST type in capital letters "YES" to continue) (*) |
Must confirm that you read terms.
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And your Initials in this box: (*) |
Must initial here.
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