GUARDIAN SECURITY SERVICES, INC. APPLICATION FOR EMPLOYMENT WE CONSIDER APPLICANTS FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, CREED, GENDER, NATIONAL ORIGIN, AGE, DISABILITY, MARITAL STATUS, OR ANY OTHER LEGALLY PROTECTED STATUS (PLEASE PRINT) Position Applied For: Date of Application How Did You Learn About Our Company? Advertisement Friend Inquiry Employment Agency Relative Other Last Name First Name Middle Name Street Address NO# City St. Zip Code Telephone NO# Message Phone No# Social Security Number Date of Birth What is the best time to contact you at home : : AM /PM If applying for an officer or communications position, are you at least eighteen years of age? YES NO If under eighteen years of age, can you provide required proof of your eligibility to work? YES NO Have you ever applied with Guardian Security Services, Inc. before YES NO If yes, please give the date Have you ever been employed by Guardian Security Services, Inc. before? YES NO If yes, please give date and position Do you have any friends or relatives who work for Guardian Security Services, Inc.? YES NO If yes, please state their names and assignments Are you currently employed? YES NO May we contact your current employer? YES NO Are you prevented from lawfully becoming employed in this country because of Visa or immigration Status? YES NO Proof of citizenship or immigration will be required upon employment Date available for work / / What is your desired wage range? Are you seeking Full time Part time Are you seeking specific hours or days YES NO If yes, please specify hours and days:
EMPLOYMENT QUESTIONNAIRE Please answer the following questions Are you willing to work on-call? YES NO Are you willing to work varying assignments to include night shifts? YES NO Are you able to work weekends and holidays? YES NO Do you have a telephone of your own? YES NO Do you have reliable transportation to and from assignments? YES NO Do you have a stable residence? YES NO Do you work well in a structured environment? YES NO Are you able to work as a member of a team? YES NO Do you work well with others? YES NO Are you able to work with the public? YES NO Can you work in stressful environments? YES NO Can you read and write fluently in English? YES NO Are you able to work alone and unsupervised? YES NO Do you need to be supervised to perform assigned task? YES NO Are you a self starter? YES NO Do you have the ability to solve problems and improvise? YES NO Do you want to belong to a team? YES NO Do you consider yourself motivated? YES NO Do you like working in different environments? YES NO Are you available to work overtime if necessary? YES NO Have you ever worked in the security industry before? YES NO If yes, for who and what were the duties that you performed? Do you currently posses a valid Washington State Drivers License or Identification Card? YES NO If no, can you obtain one? YES NO Do you posses a current Washington State Security Officers License? YES NO If yes, please give your number and expiration date
MILITARY SERVICE (Honorably discharged Veterans are given a 10 point preference in the selection process) A copy of your DD 214 will be required for verification upon employment Are you a veteran of the United States Armed Forces with an Honorable Discharge? YES NO Branch of Service Dates of Service Please list your duties and assignments Highest Rank Achieved From To Type of Discharge Military Service Number Last duty station Are you a Vietnam era or Gulf War Veteran Military Occupation Specialty YES NO Specialized Military Training (Please list any specialized military training you have received relevant to this job) Are you currently a member of a reserve component of the United States Armed Forces? YES NO If yes, please list your unit and duties and commitment requirements:
EDUCATION DID YOU GRADUATE FROM HIGH SCHOOL OR OBTAIN A G.E.D. YES NO Horizon Security Services Inc. has a mandatory high school education requirement for all employees. Proof will be required upon offer of employment. SCHOOL NAMES AND ADDRESSES OF SCHOOL COURSE OF STUDY YEARS COMPLETED DIPLOMA/ DEGREE HIGH SCHOOL UNDERGRADUATE COLLAGE GRADUATE/ PROFESSIONAL OTHER (SPECIFY) SPECIALIZED TRAINING Please describe any specialized training, apprenticeships, skills and extra curricular activities you possess. JOB RELATED TRAINING Please describe any job related training you have received. PROFESSIONAL ASSOCIATIONS Please list any professional, trade, business associations and civic activities and offices held. You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status. ADDITIONAL INFORMATION (Summarize special job-related skills and qualifications acquired from employment or other experience.)
SPECIALIZED SKILLS (PLEASE CHECK ALL APPLICABLE ) COMPUTER SKILLS (PC OR MAC) COMMUNICATIONS EQUIPMENT WORD PROCESSING TYPEWRITER ALARM SYSTEMS ELECTRONICS EQUIPMENT LAW ENFORCEMENT TRAINING VIDEO EQUIPMENT COMMERCIAL VEHICLE OPERATOR OFFICE MACHINERY (Fax, copier, shredders, telecommunication systems) FIRST AID CPR TRAINING TSCM TRAINING SEXUAL HARASSMENT AWARENESS & CULTURAL DIVERSITY AND SENSITIVITY TRAINING OTHER (Please list) (Please state any additional information you feel may be helpful to our consideration of your application.) SECURITY SPECIALIZED TRAINING (Verification of training will be required upon employment.) CERTIFIED PROTECTIVE OFFICER CERTIFIED SECURITY SUPERVISOR CERTIFIED FINANCIAL SECURITY OFFICER CERTIFIED PROTECTION SPECIALIST CERTIFIED PROTECTION PROFESSIONAL WASHINGTON STATE CERTIFIED TRAINER WASHINGTON STATE CERTIFIED FIREARMS TRAINER DEFENSIVE TACTICS REPORT WRITING SECURITY LAW VERBAL TACTICS FIREARMS TRAINING USE OF FORCE TRAINING PRIVATE INVESTIGATOR OLEO RESIN CAPSICUM DISSEMINATOR OTHER
WORK EXPERIENCE Please start with your present or most current employer. Please include any military service assignments and volunteer activities as well. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status. Employer Address Dates Employed From To Duties Performed Telephone Numbers Starting / Present job title Supervisor Hourly Rate / Salary Starting Ending Reason for leaving May we contact YES NO Employer Address Dates Employed From To Duties Performed Telephone Numbers Starting / Present job title Supervisor Hourly Rate / Salary Starting Ending Reason for leaving May we contact YES NO Employer Address Dates Employed From To Duties Performed Telephone Numbers Starting / Present job title Supervisor Hourly Rate / Salary Starting Ending Reason for leaving May we contact YES NO Employer Address Dates Employed From To Duties Performed Telephone Numbers Starting / Present job title Supervisor Hourly Rate / Salary Starting Ending Reason for leaving May we contact YES NO
PERSONAL/PROFESSIONAL REFERENCES (Do not include family members or past supervisors) NAME TELEPHONE NUMBER BEST TIME TO CALL YEARS KNOWN OCCUPATION INTEREST AND HOBBIES (Please take a few moments to tell us about yourself and what you like. This section is optional and you may exclude any activity that may reveal race, color, religion, disability, national origin, age, gender, ancestry, or any other protected status.) Drivers License Information Do you have a valid Washington State Drivers License? YES NO if Yes, please list your D.O.L. No. and expiration date: If you do not have a Washington State Drivers License can you obtain one? YES NO if No, please state the reason why: Have you been cited for a traffic violation in the past three years? YES NO If Yes, please complete the following section. Use additional paper if necessary. Date of Violation Type of Violation Disposition of violation
CRIMINAL HISTORY ( this section must be completed) NOTICE: ALL APPLICANTS WILL HAVE A CRIMINAL BACKGROUND CHECK COMPLETED PRIOR TO AN OFFER OF EMPLOYMENT AND PRIOR TO ISSUANCE OF A SECURITY GUARD LICENSE BY THE STATE OF WASHINGTON. ANY FALSE INFORMATION OR OMITTED CRIMINAL HISTORY MAY BE GROUNDS FOR IMMEDIATE TERMINATION Section 1 Have you ever been convicted of a felony? YES NO if Yes, please complete section 2 Have you ever been convicted of a gross misdemeanor? YES NO if Yes, please complete section 2 Are you a fugitive from any jurisdiction in the United States? YES NO Are you a registered sex offender? YES NO Have you ever been convicted of a crime involving theft, fraud, misrepresentation, dishonesty YES NO criminal impersonation of a Police Officer, or immoral or unethical behavior? SECTION 2 (Complete this section if you checked yes to any of the questions in section 1 ) Type of Offense Date of Conviction Disposition Type of Offense Date of Conviction Disposition Type of Offense Date of Conviction Disposition Use additional sheets of paper if necessary but include all relevant information
Drug Testing Policy Guardian Security Services, Inc. has a zero tolerance policy concerning the use of illegal drugs. It is the policy of Guardian Security Services, Inc. that all employees take random urinalysis drug tests as a condition of employment. Employees who refuse to take a drug test are subject to termination. Employees who test with positive results are subject to discipline up to and including termination. By signing this statement you are consenting to random drug testing including pre-employment screening. I have read this policy and agree to take the required random test for drugs as a condition of employment. Signature of applicant Date Physical Ability This section is for applicants applying for the position of officer only and is optional for applicants applying for other positions. The information given is considered confidential and is for the expressed use of Guardian Security Services, Inc. This section outlines certain requirements that must be met for the safety of employees and clients. The answers given in this section will be used to determine eligibility for certain duty assignments and not to discriminate. 1. Are you able to stand for extended periods of time? (up to eight hours or longer) YES NO 2. Can you work in hostile environments such as rain, cold weather, hot weather, snow, smog, wind, or any combination of these? YES NO 3. Are you able to lift and carry at least 100 Lbs.? YES NO 4. Can you walk for extended periods of time? YES NO 5. Are you able to walk up and down stairs? YES NO 6. Are you able to ascend and descend ladders? YES NO 7. Do you have any pre-existing medical or physical condition that would prohibit you from performing required assignments? YES NO (if you answered Yes, please explain below in the space provided. Use additional paper if necessary.) Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING. Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such a job or occupation has been given. YES NO Signed Date
EXPERIENCE Please take a few minutes to list any experience related to the Security and or Protective Service. Please be as detailed as possible and use additional sheets of paper if necessary. If you have never worked in a security position, please relate any experience working with the public or in an authoritative role. This is also your opportunity to provide any additional information that would prove helpful in considering your application.
APPLICANT S STATEMENT I certify that all answers and information given in this application are complete and true to the best of my knowledge. I authorize Guardian Security Services, Inc. and it s agents to investigate all information and statements contained in this application for employment as may be required to arrive at an employment decisions. This application for employment shall be considered active for a period not to exceed sixty days. Any applicant wishing to be considered for employment past that sixty day period should inquire at whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable laws, any employment relationship with Guardian Security Services, Inc. is of an at will nature, which means that the Employee may resign at any time and the Employer may discharge the employee at anytime with or without cause. It is further understood that this At will employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of Guardian Security Services, Inc. In the event of employment I understand that false or misleading information given in my application or interview(s) may result in termination. I understand also that I am required to abide by all rules and regulations of Guardian Security Services, Inc. Applicant s Signature Date DO NOT WRITE BELOW THIS LINE APPLICATION RECEIVED BY: DATE RECEIVED TIME RECEIVED APPLICATION REVIEWED BY: DATE REVIEWED APPLICATION FORWARDED RFI DCE CFE IA RFF INTERVIEW CONDUCTED BY: DATE INTERVIEWED TIME OF INTERVIEW INTERVIEW NOTES: EMPLOYMENT AUTHORIZED AS OF EMPLOYMENT DENIED RE-INTERVIEW Signature of Interviewer Signature of Human Resources Manager
Additional Information This Space is provided for applicants to state additional information they did not have room for in other parts of this application