Employees Applications

Basic Information

Name*

First Middle Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Do you have a security guard card?*

Yes
No

If you have a card is it current?

Yes
No
Do not have a card

Work interest preference

Full Time
Part Time

State any hours or days you CANNOT work

Transportation

Valid Driver's License?*

Yes
No

Use public transportation only?*

Yes
No

Own a dependable automobile?*

Yes
No

Personal Information:

Date of Birth*

Social security number

Wear glasses?*

Yes
No

Wear contact lenses?*

Yes
No

Height:*

Weight:*

Military Service

Military Service?

Yes (fill out next)
No (skip to training section)

Branch of service:

Type of discharge:

Date Start Service

Date End Service

Primary Specialty:

Highest Rank:

Training, Qualification, and Education:

( Check all that apply)

Current / Past Employment Information:

Present Employer (or most recent if not currently employed):

Current / Most Recent Employer Name*

Current / Most Recent Employer Address*

Street Address City State ZIP Code

Date Started*

Date Ended*

Job Title*

Job Supervisor

Previous Employer:

Past Employer Name

Employer Address

Street Address City State ZIP Code

Date Started

Date Ended

Job Title

Job Supervisor

Previous Employer:

Past Employer Name

Past Employer Address

Street Address City State / Province / Region ZIP / Postal Code

Date Started

Date Ended

Job Title

Job Supervisor

Previous Employer:

Past Employer Name

Past Employer Address

Street Address City State / Province / Region ZIP / Postal Code

Date Started

Date Ended

Job Title

Job Supervisor

10 Year Residence History:

Address #1:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

From

To

Address #2:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

From

To

Address #3:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

From

To

Background Questions

Have you ever been discharged for Dishonesty?*

Yes
No

Have you ever been discharged for Insobriety?*

Yes
No

Have you ever been arrested or convicted of a crime?*

Yes
No

Have you ever used or tried marijuana, cocaine, or any other illegal drug?*

Yes
No

Have you ever sold marijuana, cocaine, or any other illegal drug?*

Yes
No

Abilities Questionnaire:

Answers to the following questions provide a guide for determining the type of assignments you are best suited for. Check either “Yes” or “ No” for each question. Answer every question.

Can you stand for an eight hour period?*

Yes
No

Can you run 100 yards without stopping?*

Yes
No

Can you distinguish colors?*

Yes
No

Can you drive a Vehicle?*

Yes
No

Can you hear normal conversation on a standard telephone?*

Yes
No

Can you walk 50 minutes out of each Hour for an 8-hour period?*

Yes
No

Can you sit for extended period of time?*

Yes
No

Can you smell smoke, chemical and gas odors?*

Yes
No

Can you bend and squat?*

Yes
No

Can you stay calm in Emergencies?*

Yes
No

Can you hear Telephone rings?*

Yes
No

Can you dial a telephone?*

Yes
No

Can you ride a bicycle?*

Yes
No

Can you read signs for directions Such as left, right, up and down?*

Yes
No

Can you work regular schedule Without incurring unexpected absences?*

Yes
No

Can you respond to emergencies?*

Yes
No

Can you maintain alertness for Extended periods to respond to an emergency?*

Yes
No

Sign Application

Understand that any false or misleading information provided by me on this application shall be grounds for immediate dismissal any time during my employment with Unified. It is understood that my employment is subject to my satisfactorily meeting the requirements of a security background investigation, to which I hereby consent, and subject to undergoing a medical examination the results of which how that I can perform the essential functions of the job, with or without reasonable accommodation, without posing a direct threat to the health or safety of myself or others.

Upload Resume (if you have one)

Today's Date

Signature*

Employees Applications

JOIN OUR GUARD TEAM

Basic Information

Transportation

Personal Information:

Military Service

Training, Qualification, and Education:

Current / Past Employment Information:

10 Year Residence History:

Background Questions

Abilities Questionnaire:

Sign Application