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First Name
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Last name
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Email
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Contact No
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Address
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Position apply for?
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Please select
Uniform Security Officers - Armed
Uniform Security Officers - Unarmed
Plain Clothes Security Detail - Armed
Investigator - Armed
Investigator - Unarmed
Personal Assistant
Hourly Rate
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Hours Per Week
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Can you work Nights?
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Yes
No
Drivers License Number
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Means of transportation
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How many accidents have you had in th past 10 years?
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How many traffic citations have you had in the past 10 years?
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Have you been convicted of a crime?
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Yes
No
If yes, please explain
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Have you been in the Armed Forces?
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Yes
No
Are you a member of the National Guard?
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Yes
No
If so, Date Entered
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If so, Date Discharged
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Condition of Discharge
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Please select
Honorable
Dishonorable
Other
Work History
Name of Employer
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Employer Address
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Name of Supervisor
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Starting Pay
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Ending Pay
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Reason for leaving
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List the duties you performed
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Previous Employer
Name of Employer
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Employer Address
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Name of Supervisor
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Starting Pay
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Ending Pay
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Reason for Leaving
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List the duties you performed
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Previous Employer
Name of Employer
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Employer Address
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Name of Supervisor
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Starting Pay
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Ending Pay
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Reason for Leaving
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List the duties you performed
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