Applicant First Name
Applicant Middle Name
Applicant Last Name
Street Address
City
State
Zip Code
Cell
Email
Position Applied For
Are you 18 years of age or older?
Are you currently employed?
Have you ever been dismissed from employment?
May we contact your present employer?
Are you currently on "lay-off" status?
Are you able to perform all of the essential functions of the job for which you are applying?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?
Have you ever been convicted of a felony?
2.
3.
Phone Number
Address, City, State, Zip Code
Job TItle
Start Date
End Date
Starting Wage/Salary
Ending Wage/Salary
Duties Performed
Reason for Leaving
Direct Supervisor
Direct Supervisor Phone Number
Employer
Phone Number
Address, City, State, Zip Code
Job Title
Start Date
End Date
Starting Wage/Salary
Ending Wage/Salary
Duties Performed
Reason for Leaving
Direct Supervisor
Phone Number
Direct Supervisor Phone Number
Employer
Address, City, State, Zip Code
Job Title
Start Date
End Date
Starting Wage/Salary
Ending Wage/Salary
Duties Performed
Reason for Leaving
Direct Supervisor
Direct Supervisor Phone Number
Special Skills & Qualifications
Address, City, Street, Zip Code
Remote Security Solutions does not discriminate in any aspect of employment on the basis of race, color, religion, sex, national origin, age, marital status, disabled or veteran status. We are committed to providing and maintaining equal opportunity in the workplace. As an equal opportunity employer, we must comply with government regulations, including Affirmative Action responsibilities where they apply. The purpose of this information is to comply with the government record keeping, reporting and other legal requirements. Periodic reports are made to the government regarding this information. Your cooperation is voluntary.INCLUSION OR EXCLUSION OF ANY DATA ON THE VOLUNTARY SURVEY PORTION WILL NOT AFFECT ANY EMPLOYMENT DECISION. Please confirm understanding of the above.
City/State
City/State
Course of Study
City/State
Course of Study
Describe any specialized skills or training:
List any professional, trade, business, or civic activities and offices held. You may exclude membership which would reveal sex, race, religion, national origin, age, marital status, ancestry, disability or other protected status:
Have you had any job-related training in the military?
If yes, please describe:
Phone
Relationship to Applicant
DRUG TESTING OF ALL REMOTE SECURITY SOLUTIONS EMPLOYEES
The use, possession, sale or distribution of drugs is strictly prohibited. Any employee who violates this policy is subject to disciplinary action up to and including dismissal. All Remote Security Solutions employees are subject to drug testing. We have established a quarterly random drug testing of 2% of our employees. We also require employees that we have a reasonable suspicion of drug abuse to submit a drug test. Refusing to submit to a drug test when so requested by management is cause for disciplinary action including dismissal. We highly recommend that if you have a substance abuse problem you consult with your personal physician for treatment.I HAVE READ AND UNDERSTAND THE ABOVE.
IT IS VERY IMPORTANT THAT YOU READ AND UNDERSTAND THE STATEMENT BELOW.
Remote Security Solutions is an equal opportunity, drug free employer. We select the bet matched individual for the job based on qualifications regardless of race, color, creed, sex, national origin, age, marital status, handicap, or other protected groups under state, federal, or local equal opportunity laws. I UNDERSTAND AND AGREE THAT: 1. Any material misrepresentation or deliberate omission of a fact in my application may be justification for refusal or, if employed, dismissal from employment. 2. It is my understanding that Remote Security Solutions will conduct a thorough investigation of my entire work history, credit history, and criminal history. I authorize such investigation and the giving and receiving of any information requested by Remote Security Solutions, and I release from liability any person giving or receiving such information. I understand that falsification of data so given or other derogatory information discovered as a result of this investigation may prevent me being hired, or if hired, may subject me to immediate dismissal. 3. I agree that my employment may be terminated by this company at will or that I may terminate my employment at will without liability for wages or salary except such as may have been earned at the date of such termination. If requested by management at any time, I agree to submit to search of my person or any of my personal belongings, and I hereby waive all claims for damage on account of such examination. I authorize any physician or hospital to release any information which may be necessary to determine any ability to perform the duties of a job I am being considered for prior to employment or in the future during my employment with Remote Security Solutions. I will submit to drug testing, and refusal to submit to drug testing is grounds for dismissal. 4. Although management makes every effort to accommodate individual preferences, business needs may at times make the following conditions mandatory: overtime, shift work, a rotating work schedule, or a work schedule other than Monday through Friday. I understand and accept these conditions of my continuing employment. 5. If for any reason my employment with Remote Security Solutions is terminated, I will not solicit any business for a competitor of Remote Security Solutions nor provide business information to a competitor for a period of one year after my termination. I further understand that if I employed, due to contractual changes, Remote Security Solutions can change wages, benefits, and conditions at any time. I HAVE READ AND UNDERSTAND THE ABOVE.
Submit