Job application Form

APPLICATION AS

* Choose your Job option from hereSecurity GuardArmed Security GuardEvent Staff

Fill out application form completely. If questions are not applicable, enter “NA”. Do not leave questions blank. Be sure to sign when completed. Diligent Security Services LLC is an Equal Opportunity Employer and does not discriminate on basis of race, color, national origin, sex, religion, age or disability in employment or provision of services.

First Name*

write your first name here

Middle Name*

write your middle name here

Last Name*

write your last name here

Street

City*

Enter your city name here

State*

Enter your state name here

Zip

enter your zip code here

Phone*

Write down your phone number here

Full-TimePart-TimeTemporaryDate available for work

Please list day and times you are able to work

Are you over 18 years of age?*YesNo

If employed, can you submit verification of your legal right to work in the United States?*YesNo

Are you able to perform the essential functions of the job for which you are applying with or without reasonable accommodations?*YesNo

If no, describe the functions that cannot be performed:*

Have you ever been convicted of a criminal offense, felony or misdemeanor? *YesNo

If your answer is “Yes,” explain in concise detail on a separate page, giving dates and nature of the offense, name and location of the court, and disposition of the case(s). A conviction may not disqualify you, but a false statement will.

Emergency Contact Information:

Firstname*

LastName*

Contact No*

Address*

City*

Relation*

EDUCATION
(Note: Applicants may be required to provide proof of diploma, degree, certifications, and registrations.)

High School Graduate or GED?YesNo

If yes, name and location of high school or GED Institute Below:

Types Of SchoolUndergraduate College or Universities

Name & Location of School

Dates Attended

From

Date Graduated

Expected Graduation date

Sem/Clock Hours Completed

Type of Diploma or Degree

Major/Minor Fields of Study

Type of SchoolGraduate Schools

Name & Location of School

Dates Attended

From

Date Graduated

Expected Graduation Date

Sem/Clock Hours Completed

Type of Diploma or Degree

Major/Minor Fields of Study

Type of SchoolTechnical or Vocational Schools

Name & Location of School

Date Attended

From

Date Graduated

Expected Graduation Date

Sem/Clock Hours Completed

Type of Diploma or Degree

Major/Minor Fields of Study

SKILLS :

Do you speak, write, or understand any foreign language?YesNo

If Yes which?

Specific skills or training: What knowledge, special skills, and/or individual capabilities do you have which especially prepared you for the position applied for?

EMPLOYMENT:
Experience: Please account for all employment within the last seven (7) years, beginning with your current or more recent employer. In addition, please indicate any other experience which you believe is relevant to the position for which you are applying (e.g., volunteer experience, military service, experience gained over seven (7) years prior, etc.) Attach an additional sheet if extra space is needed.

Answer the following questions. If you are applying for a professional, licensed, or certified position.

Are you license/certified for the job applied for?YesNo

Gun Permit:YesNo

Regisgtration Number

Guard Card:YesNo

Registration Number:

Driver’s License:YesNo

License Number:

Has your license/certification ever been revoked or suspended?YesNo

If yes, explain:

Position Title:

Employer:

Mailing Address:

City/State/Zip:

Employee Phone

Current/Final Salary:

Start Date

End date

Non-Managerial PositionSupervisory/Managerial Position

Immediate Supervisor’s Name:

TypeFull-TimePart-TimeTemporary

Title

Supervisor Name

#Hours of worked/week

Summary of experience including special training/skills/qualifications you have used in the performance of this job:

Specific reason for leaving:

Position Title:

Employer:

Mailing Address:

City/State/Zip:

Employee Phone #:

Current/Final Salary:

Start Date

End Date

Non-Managerial PositionSupervisory/Managerial Position

Immediate Supervisor’s Name:

TypeFull-TimePart-TimeTemporary

Title

Supervisor Name

Hours of Worked/Week

Summary of experience including special training/skills/qualifications you have used in the performance of this job:

Specific reason for leaving:

PRE-EMPLOYMENT CERTIFICATION (Post Initials Here)

1. The information that I have provided on this application is accurate to the best of my knowledge and may be verified by the Company or its agents.

2. I authorize all the schools, persons and organizations named in the application to provide any relevant information in their possession or knowledge to the agents of the Company, for use in deciding whether or not to offer me employment and specifically waive any required written notification.

3. I understand and agree that any misrepresentation or omission of facts in this application will be justification for refusal or termination of employment, regardless of the time elapsed before discovery.

4. I understand and agree that the employment for which I am applying is and is intended to be at-will and such employment may be terminated at any time with or without cause, without prior notice, by either myself or the Company. There will be no agreement, expressed or implied, between the Company and me for any specific period of employment, nor for continuing or long term employment unless made in writing, and signed by an authorized representative of the Company.

If employed I understand that I will be required to possess a current and valid California Guard Card If my position requires me to have one.

Date