EmailMe Form - Agent Employment Inquiry Form

Which position(s) are you applying for?
[Beverly Hills, CA] Unarmed Officer, Full Time, Graveyard Shift
[Los Angeles, CA] Unarmed Officer, Part Time, Mondays-Thursdays Swing Shift
[Los Angeles, CA] Unarmed Officer, Part Time, Saturdays and Sundays Day Shift
[Beverly Hills, CA] Armed Officer, Part Time, Swing Shifts
Any position available
Please check any positions you are interested in applying for
In addition to this position, would you also like to be considered for On-Call/Special assignments? *
Yes
No
Minimum hourly rate of pay desired: *
$ Dollars . Cents
Contact Information
Name *
First Middle Last Suffix
Email Address *
Example: johndoe@mail.com
Primary Contact Number (Mobile) *
### - ### - ####
Secondary Contact Number (Alternative or Emergency)
### - ### - ####
Current Address *

Street Address City State / Province / Region Postal / Zip Code
I am willing to travel: *
Up to 10 miles
Up to 20 miles
Up to 30 miles

To give us a better idea of your availability, please 'check' all the hours that you are AVAILABLE to work. If you are NOT AVAILABLE during the a specific time frame, leave it blank.

Existing weekly commitments:
Please identify any existing weekly commitments
Are you at least 18 years of age? *
Yes
No
Date of Birth: *
MM / DD / YYYY
Do you own a black suit? *
Yes
No, but can acquire
No, not interested in working suited assignments
(Solid black, stripes not acceptable)
Active Permits *
Guard Card
Baton
Pepperspray
Firearm
CPR
First Aid
How long have you had your Guard Card? *
Have you served in a military? *
Please describe your previous security OR military experience: *
Example: types of clients serviced, duration, responsibilities, duties etc.
Have you ever been convicted of any crimes? If yes, please state the type of crime, date of occurrence and penalty/sentencing: *
All crimes including misdemeanors and felonies
Can you speak any additional languages other than English? If yes, please describe: *
Level(s) of education completed: *
High School Diploma or Equivalent
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
I am interested in *
On Call/Special Assignments
Part Time Positions
Full Time Positions
Unarmed Work
Armed Work
Most Recent Employer
Company Name *
Employment Start Date *
MM / DD / YYYY
Employment End Date *
MM / DD / YYYY
Starting Pay Rate *
$ Dollars . Cents
Ending Pay Rate *
$ Dollars . Cents
Reason for leaving *
2nd Most Recent Employer
Company Name
Employment Start Date
MM / DD / YYYY
Employment End Date
MM / DD / YYYY
Starting Pay Rate
$ Dollars . Cents
Ending Pay Rate
$ Dollars . Cents
Reason for leaving
3rd Most Recent Employer
Company Name
Employment Start Date
MM / DD / YYYY
Employment End Date
MM / DD / YYYY
Starting Pay Rate
$ Dollars . Cents
Ending Pay Rate
$ Dollars . Cents
Reason for leaving
Signature

(click and hold mouse to draw) *
Clear
By signing above, I acknowledge that I have answered all the above questions truthfully and do the best of my knowledge.

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Contact Information

Most Recent Employer

2nd Most Recent Employer

3rd Most Recent Employer