B. C. |
Y |
N |
COPIES: |
Y |
N |
SIGNED: |
Y |
N |
W O T C: |
Y |
N |
UNIFORM: |
Y |
N |
MEDICAL: |
Y |
N |
PARADIGM: Q |
D |
W-4: |
Y |
N |
I-9: |
Y |
N |
TRAINING |
Y |
N |
INITIAL: _______
FOR OFFICE USE:
LOCATION:
MARKSMAN SECURITY APPLICATION
Date: ____/____/2012
FORRATEOFFICEOFUSEPAY:
$:
FOR OFFICE USE:
V-ENTERED_________
Q-ENTERED_________
SCANNED |
__________ |
D. LICENSES ________ |
S/O CARD |
_________ |
FOR OFFICE USE:
Name: _______________________________________ |
Email: ____________________________ |
Last |
First |
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DO YOU OWN YOUR OWN CELL PHONE Y ___ N ___ ? |
DO YOU HAVE YOUR OWN TRANSPORTATION Y ____ N ____ ? |
Phone :( Cell) ____________________________________ |
Alt :( Home) _____________________________________ |
Address: ________________________________________ |
/___________/______ /__________ |
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City |
State |
Zip |
Social Security #: __________________________ |
Date of Birth: _____/________/__________ |
Please provide for a photo copy |
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Month |
Day |
Year |
Driver License #: ________________________ Expires: _____ /____ |
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Please provide for a photo copy |
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Month / Year |
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“D” License #: |
________________________ Expires: _____/_____ |
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Please provide for a photo copy |
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Month / Year |
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Employment History: (Start with most recent) |
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___________________________________ |
Dates: Start___________ |
End__________ |
___________________________________ |
Dates: Start___________ |
End__________ |
___________________________________ |
Dates: Start___________ |
End__________ |
Wage: _______p/h
Wage: _______p/h
Wage: ______ p/h
Please summarize your Security experience: ____________________________________________
________________________________________________________________________________
Languages: ___________________________ Any special license: (i.e.: CPR)________________
Have you ever served in any of our armed forces? NO- YES -
(Which Branch):_________________________________ (Type of Discharge): __________________________
Please provide copy of DD-214.
Disclose any misdemeanor or felony convictions? NO-.
YES - (Explain): __________________________________________________________________
I hereby understand and agree that part of the Marksman Security Corporation (“Marksman”) hiring process includes a criminal background check performed by an outside third party company. I consent to allowing such background check and allowing same to be part of the consideration of my employment decision by Marksman.
PLEASE GIVE DETAILS OF THE AREAS AND SHIFTS YOU ARE WILLING TO WORK:
Availability: _____________________________________________________________________
(Days, Times)
Referred By: _________________ UNIFORM Shirt Size: _____ Pants Size: _____ Shoe Size: _____
Signature of Applicant: _____________________________________________________________