Uni-Guard Security is an Equal Opportunity Employer
APPLICATION FOR EMPLOYMENT
Full Time:
Part Time:
Position Desired:
Days/Hours Available:
Answer all question completely- Please print
Date:
Email:
Phone:
Name
Last:
First:
Middle:
Address
Number:
Street:
City:
State:
Zip Code:
Social Security:
Driver's License:
State:
Emergency Contact Information
Name:
Phone#
Relationship:
Do you have a high school diploma/GED?
Received form?
Are you at least 18 years old?
Yes
No reffered by whom?
Are you able to read, write and understand English language?
Have you ever been convicted of a crime?
Yes
No (A Yes answer does not neccessarily exclude you from consideration)
If yes, please explain; provide dates, location and circumstances?
Military Service:
Yes
No
Branch:
Dates of Service:
Job Title:
Have you ever worked in a position similar to the one for which you are applying?
Have you completed an application for employment with this company previously?
Yes
No
if yes, When?
Have you worked with this company before?
When?
Reason for leaving?
Do you have computer skills?
Service positions with this Company require:
Lifting 35 lbs.
Carrying 35 lbs.
Bending
Reaching
Pushing
Walking
Twisting
Crouching
Standing
Are there any reason why you could not perform these physical requirements?
WORK HISTORY - Start with today and list all employers for the past 5 years
Employers Name:
Phone:
Position:
Supervisor's Name/Title:
Dates of Employment
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Full Address:
Rate of Pay:
Job Type:
Full Time
Part Time
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Describe the work you did:
Reason for Leaving:
Employers Name:
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Position:
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Dates of Employment
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Full Address:
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Job Type:
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Full Time
Part Time
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Describe the work you did:
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Attach a Resume with your application:
