Proactive Security Services
APPLICATION FOR EMPLOYMENT
WE ARE AN EQUAL OPPORTUNITY EMPLOYER

ALL EMPLOYEES WILL BE CONSIDERED FOR EMPLOYMENT WITHOUT REGARD TO RACE, RELIGION,
COLOR, SEX, AGE, ANCESTRY, NATIONAL ORIGIN, MARITAL STATUS, VETERAN STATUS, MEDICAL
CONDITIONS, HANDICAP, PHYSICAL OR MENTAL DISABILITY, SEXUAL ORIENTATION OR ANY OTHER
STATUS PROTECTED BY LAW.

PERSONAL How did you hear about Proactive Security Services:
___________________________________________________________________________________________

___________________________________________________________________________________________ ____________________________________________________
Name (Last, First, Middle)

_____________________________ Date

________________________________________________ ‐ __________________________________________
Street Address

City, State, Zip
_________________________________________ __________________________________________
Home Number

Mobile Number
Do you have a valid driver’s license? [ ] Yes [ ] No License # __________________________ State ________
Position applied for:
Office Applied For:
___________________________________________________________________________________________
Do you hold a State Reg. Guard Card? [ ] Yes [ ] No

Permit Number: _________________________

Do you hold a State Firearms Permit?

Permit Number: _________________________

[ ] Yes [ ] No

Have you ever had a security clearance? [ ] Yes [ ] No

What Level: _____________________________

Type of employment desired [ ] Full‐Time [ ] Part‐Time Overtime? [ ] Yes [ ] No
Shift Availability: Morning [ ] Yes [ ] No Swing [ ] Yes [ ] No Grave [ ] Yes [ ] No
Are you under the age of 18? [ ] Yes [ ] No
Do you have the legal right to live and work in the United States? [ ] Yes [ ] No

Will you be able to perform safely and efficiently all functions of the job(s) for which you are assigned?
[ ] Yes [ ] No If no, please explain: ___________________________________________________________________________________________ ___________________________________________________________________________________________
Employees for certain positions will be required to undergo a physical examination including drug, and alcohol testing to ensure that they can safely and effectively perform the job for which they are assigned. Will you take a physical examination or testing if required for pre‐employment screening? [ ] Yes [ ] No
Will you comply with the safety, work, attendance and employment policies of our organization?
[ ] Yes [ ] No
Have you ever been convicted of a felony? [ ] Yes [ ] No
Are you a veteran? [ ] Yes [ ] No
Branch of service: _______________________________ Type of Discharge: _____________________________

______________________________________For Office Use Only_____________________________________
Transportation: __________________ Pay Rate: _______________ Authorized By: ____________________
Armed Guard: Yes __________ No __________

Club Guard: Yes __________ No __________

EDUCATION
School

Name & Location of School

Course of
Study

Years
Completed

Did you
Graduate?

Degree or
Diploma

Graduate School
College

Trade School High School Other

EMPLOYMENT HISTORY______________________________________________________________________
Company Name: __________________________________ Date of Employment: ________________________
Address: