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Subject

Pre-Employment Application

YOUR INFORMATION:

First Name *

Middle Initial

Last Name *

Address 1 *

Address 2

City *

State/Province *

Zip/Postal Code *

Home Phone *

Alternate Phone

e-mail address *

POSITION INFORMATION:

Position applying for

Type of employment desired

Full Time Part Time Weekends Only

Shift desired

1st 2nd 3rd

Are you employed now?

Yes No

Are you 18 years or older?

Yes No

Some positions require a driver's license and/or car. Answering no to the following questions does not constitute an automatic rejection to employment

Do you have a valid driver's license?

Yes No

Do you have access to a car?

Yes No

All Security Personnel Inc. officers must be licensed by the state of Wisconsin. To pass licensing requirements, officer applicants can not be convicted felons or have any misdemeanor convictions related to the practice of private security.

Do you have a valid State of Wisconsin private security permit?

Yes No

Do you have a valid State of Wisconsin firearm certification?

Yes No

Are you eligible to be licensed?

Yes No

EDUCATION:

Highest grade level completed

School

High School Diploma

Yes No GED

EMPLOYMENT HISTORY - LIST MOST RECENT JOB FIRST

to

Last or present employer

Employer complete address

Supervisor name and title

Phone

Reason for leaving

Resigned
Fired
Laid Off

Please Explain

2. Dates

to

Salary

Last or present employer

Employer complete address

Supervisor name and title

Phone

Your position and basic duties

Reason for leaving

Resigned
Fired
Laid Off

Please explain

3. Dates

to

Salary

Last or present employer

Employer complete address

Supervisor name and title

Phone

Your position and basic duties

Reason for leaving

Resigned
Fired
Laid Off

Please explain