Employment Application

Full Name Date of Application Street Address Apt/Suite City State: PA Zip Code Phone E-mail Full SSN DOB (For Background Check)
Are you 18 years of age or older?
Yes
No
Are you legally authorized to work in the United States?
Yes
No
Do you possess a valid Pennsylvania Driver's License?
Yes
No
Have you ever been convicted of a felony or a disqualifying misdemeanor?
Yes
No
Do you possess a current PA Act 235 (Lethal Weapons Training) Certification?
Yes
No
N/A
If Yes to Act 235, provide Certification Number Expiration Date Position & Availability: Position Applied For Desired Pay Rate ($/hr)
Type of employment desired
Full-Time
Part-Time
Seasonal / Temporary
Availability
Days
Evenings
Nights
Weekends
Holidays
Education & Military Background: High School Diploma or GED Recipient?
Yes
No
Name of School / City / State College / University / Trade School Name Degree / Certification Earned
Are you a veteran of the U.S. Armed Forces?
Yes
No
Branch Previous Employment History (List Last 2 Employers): Employer 1 Company Name Job Title Dates Employed (Mo/Yr) Reason for Leaving Employer 2: Company Name Job Title Dates Employed (Mo/Yr) Reason for Leaving I certify that all answers and statements given true, complete, and correct to the best of my knowledge. I understand that any omission or misrepresentation of facts is cause for denial of employment or immediate dismissal.

I hereby authorize this Security Organization and its agents to conduct a comprehensive criminal history background check, fingerprinting (if applicable under PA law), drug screening, and verification of previous employment and certifications.
Submit

Additional Employment Forms