Sunshine State Security Agency

Second To None

An Equal Opportunity Employer

Please print and fill out all sections

PERSONAL INFORMATION                                                                                                                                         DATE OF APPLICATION: ______________

                          Last                                           First                                     Middle

                        Street                                               (Apt)                                      City, State                   Zip

                                              Street                                                            City, State                   Zip

                                    Home Telephone                            Mobile                                      Email

POSITION Applying For:     _________________________     

Available Start Date: ______________

Desired Pay Range:  ________________ 

Are you currently employed? _________________

Employment Positions

Are you applying for?

·                                 Temporary work – such as summer or holiday work?      [ ] Yes or  [ ] No

·                                 Regular part-time work?        [ ] Yes or    [ ] No

·                                 Regular full-time work?          [ ] Yes or    [ ] No

What days and hours are you available for work?

___________________________________________________

If applying for temporary work, when will you be available?

___________________________________________________

Can you work on the weekends?        [ ] Yes or     [ ] No

Can you work evenings?          [ ] Yes or    [ ] No

Are you available to work overtime?         [ ] Yes or    [ ] No

Personal Information:

Have you ever applied to / worked for Sunshine State Security Agency before?

    [ ] Yes or    [ ] No

If yes, please explain (include date): _______________________________

_______________________________________________________________

Do you have any friends, relatives, or acquaintances working for Agency?

     [ ] Yes or     [ ] No

If yes, state name & relationship: ___________________________________

__________________________________________________________________

If hired, would you have transportation to / from work?         [ ] Yes or   [ ] No

Are you over the age of 18?  [ ] Yes or [ ] No

If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States?         [ ] Yes or   [ ] No

If hired, are you willing to submit to and pass a controlled substance test?  

    [ ] Yes or   [ ] No

Are you able to perform the essential functions of the job for which you are applying, either with / without reasonable accommodation?   [ ] Yes or [ ] No

If no, describe the functions that cannot be performed____________________________________________________________

___________________________________________________________________________________________________________

EDUCATION

                                                     Name and Location                             Graduate? – Degree?              Major / Subjects of Study

PREVIOUS EXPERIENCE

Please list beginning from most recent

        Dates Employed                       Company Name                       Address                                                  Role/Title      

Telephone #: ________________________________     From: ______________ To: _______________

Job notes, tasks performed and reason for leaving: ______________________________________________________________________________

              Dates Employed                       Company Name                       Location                                     Role/Title      

Job notes, tasks performed and reason for leaving:

Branch: __________________________________________________________

Rank in Military: __________________________________________________

Total Years of Service: ___________________

Skills/duties: ______________________________________________________

Related details: __________________________________________________

Uniform / Licenses

Types of Security Licenses you have: Class “D” #_______ Class “G”# ____________  Others: ____________________________________________

Do you own a weapon? ____________________________

The only firearms that may be carried are a .38 caliber revolver; or a .380 caliber or 9- millimeter semiautomatic pistol; or a .357 caliber revolver with .38 caliber ammunition only.

Shirt Size ____________   Trouser size ______________

                                                                           Waist: ___________________     

                                                                           Inseam: _________________

                                                                           Hat Size: ________________

 (Note: Sunshine State Security Agency complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

   [ ] Yes or   [ ] No

If yes, please describe the crime - state nature of the crime(s), when and where convicted and disposition of

The case.____________________________________________________________________

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

 

Job Application Agreement

Uniforms or equipment, I authorize the Agency to deduct the entire balance due and owing to the agency from any amounts owed to me.

I authorize investigation of all statements contained herein and the references listed within to give you any and all information concerning my previous employment and pertinent information they may have person and otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

I agree to abide by the rules and policies of Sunshine State Security Agency. I understand and agree that all policies and procedures of Sunshine State Security Agency may be modified, amended or deleted by the employer with or without notice to me and that the policies and procedures whether oral or written are not contractual and are not to be interpreted as a contract of employment or to give me any right of continued employment.

I understand that my employment may be terminated at the will of either myself or the Company with or without cause and with or without notice by either party. I also understand that no one at Sunshine State Security Agency can change my employment at will unless Sunshine State Security Agency and I enter into an express written employment agreement signed by the President. Upon

Termination from employment from the Agency, if I owe the Agency money including, without limitation, for any

I agree to submit to an alcohol or drug screening test as required by the Agency, and understand that refusal to do so, or positive results, may result in either the withdrawal of any employment offer or termination of employment.

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed; falsified statements or omissions on this application shall be grounds for dismissal with no liability on the part of the Agency.

I understand that any employment offer and my continued employment with Sunshine State Security Agency are contingent upon the completion of a satisfactory criminal background check. I understand and agree that my refusal to authorize a criminal background check or the existence of a criminal record may result in either the withdrawal of any employment offer or the termination of my employment with Sunshine State Security Agency.

I understand that Sunshine State Security Agency ' employment applications are retained for six months and that if I wish to be considered after six months, I must complete another application at that time.

Applicant Name (Print): _____________________Date__________________

Applicant Signature:  _______________________Date: _________________

Representative of the Sunshine State Security Agency

______________________________ Date: ____________________

Date Hired: ________  Starting Date: __________ Salary: _______________

Notes:___________________________________