2017-employment-form

Tin Star Security Employment Inquiry

1. Today's Date

2. First Name:

3. Last Name:

4. Address:

5. City:

6. State:

7. ZipCode:

8. Phone Number:

5555555555

9. Cell Number:

5555555555

10. Email Address:

Confirm Email Address:

11. Date of Birth:

12. Social Security #:

13. Gender:

14. Full or Part time employment?:

Full Time Part Time

15. Shifts You're Available:

Day Swing Grave Any Shift

16. Are you available for weekend work?:

Yes No

17. Do you have a Guard Card?:

Yes No

18. Are you certified for any of the following?:

Armed Guard Baton Chemical Agents I do not have any certificates

Check all that apply. (Not required for employment)

19. Do you have a valid CA Drivers License?:

Yes No

20. Do you have reliable transportation?:

Yes No

21. Can you submit verification of legal employment in the United States?:

Yes No

22. What is your highest grade completed in school?:

23. Did you graduate?:

Yes No

24. Have you attended a POST Academy?:

Yes, completed with certificate Yes, but didn't complete Currently Enrolled No

25. Are you currently employed?:

Yes, I am currently employed No, I am NOT currently employed

If "YES" to question 25 above, provide the following information about your current employer.

CURRENT EMPLOYER INFORMATION

Last Employer Information

26. Company Name:

27. Address:

28. City:

29. State:

30. ZipCode:

31. Phone Number:

32. Position Held:

33. Start Date:

34. End Date:

35. Responsibilities:

36. Reason for Leaving: