Call No. : 859-255-1028 (Monitored 24/7) /Fax : 859-255-3868

    All Field Are Required.


    PERSONAL INFORMATION

     

     

    First Name

    M.I.

    Last Name

    Telephone #

    Cell Phone #

    E-Mail

    Do you possess a valid driver's license?                   

             


    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

     


    EMPLOYMENT DESIRED

     

     

    Date you will be available for work? 

    Month Day

    Salary Desired? $

    Are you currently employed?

    If so, may we contact your employer?

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

    Do you seek full or part time employment?

    Can you work nights?        Can you work weekends?  

    Days and hours available for work:

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

    Do you have a driver's license?        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?     How many?

    Have you had any moving violations during the last 3 years?      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.

    If no, please explain.

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

    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.

    If yes, describe.

     


    EDUCATION HISTORY

     

    Languages Spoken:

             

    High School/GED?


    Last High School Attended:

    Name City    State Grade Completed

             


    Junior College Attended:

    Name City    State   Year Completed

    Major

    Minor

             


    College or University Attended:

    Name City    State   Year Completed

    Major

    Minor

             


    Trade School Attended:

    Name City    State   Year Completed

    Major

    Minor

     

    Professional School:

    Any Special Training?

     


    PROFESSIONAL REFERENCES

    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

     


    EMPLOYMENT HISTORY

             

    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?

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

     



    ARMED SERVICE HISTORY

             

    Have you ever been granted a security clearance?

    Have you ever been in the Armed Forces?

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

    If yes, Date Entered   Discharge Date

    Specialty or MOS

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

             



    READ STATEMENTS BELOW CAREFULLY BEFORE AGREEING

     

    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