Desert Eagle Security 1858 Paseo San Luis, Sierra Vista, AZ 85635 Phone:520-459-5593 Application for Employment In compliance with applicable federal and state equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability. **Employees must be at least 21 years old and provide proof of US Citizenship** Today s Date: Full Name: Present address: How long have you lived at the above address: Telephone #: Desired Wage? Social Security Number: When can you Start? How did you hear about this opportunity? Do you have any family/friends currently working at Desert Eagle Security? If so, Please list their names: Are you willing to work part-time (12-24 hours per week)? Are there any hours, shifts or days you cannot or will not work? If so, please specify: Are you willing to work: Overtime? Weekends? Nights/Graveyards? What County and State are you applying for? Do you have a current Security guard license? State & Number: Are you able to meet the physical requirements of this position including (but not limited to); standing, sitting, and/or walking for long periods of time? Desert Eagle Security and/or the state requires that all accepted applicants pass the examinations given at the end of the training academy. Is this acceptable? Page 1 of 5
Education High School NAME AND LOCATION OF SCHOOL COURSE OF STUDY CIRCLE HIGHEST YEAR COMPLETED 9 10 11 12 LIST DIPLOMA OR DEGREE College 1 2 3 4 Trade/Professional School Other special training or skills Personal References (Other than previous employers or relatives) Providing this information means that you give this organization permission to contact the references listed. NAME ADDRESS PHONE NUMBER Driving Record DO YOU HAVE A CURRENT DRIVER S LICENSE? STATE? HAS YOUR DRIVER S LICENSE EVER BEEN SUSPENDED OR REVOKED? IF YES, PLEASE EXPLAIN: IF DRIVING POSITIONS WERE TO BECOME AVAILABLE, COULD YOU PROVIDE A FIVE YEAR MVD REPORT WITH NO MOVING VIOLATIONS? Military Service Record (Submit a copy of your DD-214 upon offer of employment) WERE YOU IN THE U.S. ARMED FORCES? IF YES, WHAT BRANCH? DATES OF DUTY - From: To: TYPE OF DISCHARGE RECEIVED: RANK AT TIME OF DISCHARGE: Page 2 of 5
Employment History List Below present and past employment, beginning with the MOST recent. This must be completed even if you attach a resume. Incomplete applications will not be considered. MOST RECENT EMPLOYER: FROM: TO: START WAGE: END WAGE: PREVIOUS EMPLOYER: FROM: TO: START WAGE: END WAGE: PREVIOUS EMPLOYER: FROM: TO: START WAGE: END WAGE: Page 3 of 5
Tell us why you want to be a Security officer (minimum of 20 words): Arizona Security Officer Job Requirements Please read and sign below There are certain mandatory documents that you must possess in order to work as a security officer for Desert Eagle Security. These documents may include a Birth Certificate, Passport, Social Security Card, or Driver s License. If applying to work in Arizona, Arizona Revised Statutes (A.R.S) requires that you be sponsored by a licensed agency such as Desert Eagle Security. The law requires that your photograph and fingerprints be submitted to AZ Department of Public Safety for an FBI background investigation. Your signed Security Guard application, photograph, training certificate, and fingerprints must be submitted to the Arizona Department of Public Safety with a $72.00 money order. You must not have been convicted of any felony or any crime involving arson, fraud, physical or domestic violence, theft, narcotics, illegal sexual contact, or the illegal use or misconduct involving a deadly weapon; whether or not your conviction was set aside and your rights restored. You may not be on probation, parole or community supervision for any crime; nor have outstanding warrants or be under indictment for a felony. You may not begin work until the license has been issued. They will approve or disapprove your license based on their investigation of criminal records, and if denied, they will not issue a refund of your application fee. I am aware that any falsification or misrepresentation of information appearing on my application for employment shall be grounds for my not being hired or for my being terminated. Nothing in this application or granting of any interview creates a contract of employment. I understand that failure to submit to pre-employment or random drug screen testing when requested may lead to termination of consideration for employment without liability. I consent to the release of all information about my ability and fitness for the position I have applied for by employers, schools, law enforcement agencies, and other individuals and organizations including credit agencies to investigators, personnel staffing specialists, and other authorized employers of this company. Signature: Date: Page 4 of 5
Release and Authorization for Background and Reference Investigation As part of its employment screening and selection procedures Desert Eagle Security (DES), requires a background investigation and a check of references. Such investigation and checks may require the submission of information about the applicant s social security number (SSN), date of birth (DOB) and drivers license number (DL#). I, hereby give the DES permission and authority to conduct a background investigation and reference checks concerning my past and current activities. I agree and consent to any investigation that may make including, but not limited to information as to my personal character, general reputation, former employment, education, credit history, driving record, social security wage information, criminal history and other information contained in public records or obtainable from former employers or other references, business or personal. I understand and agree that DES maintains a drug-free workplace, that maintenance of same is essentially the safety of the workplace and employees, and that I may be required to undergo drug and/or alcohol screening and testing. I also understand and agree that I may be subject to such testing during the course of my employment, and I specifically agree not to oppose in any fashion such post-hire testing. I understand that, subject to applicable law, DES shall be the sole judge of the acceptability of any tests results. I also acknowledge that I have been advised that DES is an Equal Opportunity Employer and does not discriminate against persons who are physically or mentally handicapped, and administers its employment policies in a nondiscriminatory manner. I hereby authorize and request any former employers, personal references, schools, police and court personnel, credit agencies and any other person to furnish any information concerning my work habits, reasons for termination, criminal history, driving records, credit history or any other relevant information requested by DES. I hereby release all persons, companies, corporations or individuals from all liability and responsibility that may result from providing the information set out herein. I am aware that the result of any background investigation performed by DES is not the sole criteria used by the employer in making a decision to hire or not hire any individual, including me. I am also aware that any falsification or misrepresentation of information appearing on my application for employment shall be grounds for my not being hired or for my being terminated. Signature: Date: Page 5 of 5