Elliott Security

All Field Are Required.

First Name

M.I.

Last Name

Telephone #

Cell Phone #

E-Mail

Do you possess a valid driver's license?                    YesNo

Present Address:

Street No.

City

State

Zip Code

How long at this address?

Previous Address:

Street and No.

City

State

Zip Code

Previous
Address:

Street and No.

City

State

Zip Code

Date you will be available for work? 

Month JanFebMarAprMayJunJulAugSepOctNovDec Day 12345678910111213141516171819202122232425262728293032

Salary Desired? $

Are you currently employed?

YesNo

If so, may we contact your employer?

YesNo

If you have applied to this company before, please indicate when and position.

Do you seek full or part time employment?

fulltimeparttime

Can you work nights?  YesNo      Can you work weekends?  YesNo

Days and hours available for work:

Mon. Tues. Wed. Thurs. Fri. Sat. Sun.

Do you have a driver's license? YesNo        Driver Lic. #        State of issue

Operator?        Commercial? (CDL)        Chauffeur

What is your means of transportation to and from work?

Have you had any accidents in the last 3 years? YesNo     How many?

Have you had any moving violations during the last 3 years? YesNo      How many?

List other names or aliases you have used

If employed, can you provide proof of legal right to work in the United States.

YesNo

If no, please explain.

Have you ever been convicted of a felony or are you on bail pending trial for a felony?

YesNo

If yes, please explain in full with description of the case.

Skills, abilities, qualifications or experiences which you feel would fit you to work for Elliot Security:

Do you have or anticipate any obligations which could conflict with a standard work schedule or performance of assigned duties.

YesNo

If yes, describe.

Languages Spoken:

High School/GED? YesNo

Last High School Attended:

Name City    State Grade Completed 9101112

Junior College Attended:

Name City    State   Year Completed 12

Major

Minor

College or University Attended:

Name City    State   Year Completed 1234

Major

Minor

Trade School Attended:

Name City    State   Year Completed 1234

Major

Minor

Professional School:

Any Special Training?

Please list 2 references other than people related to you or past employers:

1. Name

Address

Telephone

Relationship

Years Known

2. Name

Address

Telephone

Relationship

Years Known

In case of emergency, whom should we notify?

Name

Address

City

State          

Zip Code

Telephone

Relationship

List your present or last position.

Company Name

Address

Phone

Name/Title of Supervisor

Job Title

Starting Pay     Ending Pay

Dates of Employment (Month/Year) from to

Type of work performed

Reason for Leaving

List your previous position.

Company Name

Address

Phone

Name/Title of Supervisor

Job Title

Starting Pay     Ending Pay

Dates of Employment (Month/Year) from to

Type of work performed

Reason for Leaving

List your previous position.

Company Name

Address

Phone

Name/Title of Supervisor

Job Title

Ending Pay

Starting Pay     Ending Pay

Dates of Employment (Month/Year) from to

Type of work performed

Reason for Leaving

May we contact your present employer? YesNo

Did you complete this form yourself? YesNo       If not, who did?

Have you ever been granted a security clearance? YesNo

Have you ever been in the Armed Forces? YesNo

Are you currently a member of the Army Reserves or the National Guard? YesNo

If yes, Date Entered   Discharge Date

Specialty or MOS

Do you have a current
Kentucky Concealed Carry Permit? YesNo If yes, Expiration Date  

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed, falsified statements on this application shall be grounds for dismissal. I further certify that I am 18 years of age or older.

I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

I understand and agree that if hired, my employment is for no definite period and may, regardless of the date of payment of my wages, be terminated at any time without notice.

I understand that all applicants are subject to a pre-employment drug screening and criminal background check.

Elliott Security Company is  a  wholly owned company of G2~Blackhawk Inc. and is always looking for qualified and motivated employees to serve as Security Officers.

Applicants "MUST"  have a clean criminal record pass a criminal background check and drug screen.   

Applicants "MUST"  have  high school diploma or GED.

Applicants  "MUST"  have a valid drivers license with reliable transportation and telephone – NO exceptions.

A  neat haircut above the collar for males,  no visible tattoos or facial piercings.

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ELLIOTT SECURITY IS AN EQUAL OPPORTUNITY EMPLOYER