APPLICATION FOR EMPLOYMENT

                                                                                                                               Date:   

 Last Name                                 First Name                     Middle Int.                  Social Security No.                                                                         

Have you ever worked anywhere under a different name?     Yes    No                                                                                                                           

If yes, what name?  Email address 

Present Address                                                     City                               State   Zip                 How long                yearsmonths

Telephone Number                       Cell Phone                                                           REQUIRED BY THE STATE                                                                                                               TEXAS D. L. #

Previous Addresses for last 5 years                       City                               State   Zip                 How long                  yearsmonths

                                                                             City                               State   Zip                 How long                 yearsmonth

                                                                             City                               State   Zip                 How long                 yearsmonths

Type of Job for which you are applying            Rate of pay expected     $

Are you applying for full-time employment ?  Yes   No 

If less than full-time, how many hours are you available per week?   and what days?

Are there any restrictions on the hours you can work? Yes   No    If yes, what are they?

Have you ever worked for Firstwatch Security before? Yes   No    If yes, when and where?

Are you under 18 years of age ?  Yes   No     Over the age of 70 ?  Yes   No   

If hired, on what date will you be available to work ? 

If hired, do you have a reliable means of transportation to get to work ?      Yes   No   

Do you have any physical handicaps or serious illnesses which would prevent you from performing specific kinds of work ?

Yes   No           If yes, please describe your work limitations. 

Have you ever been arrested ?   Yes   No    

Have you ever been convicted or plead guilty to a felony or a misdeameanor ?   Yes   No    

Have you been hospitalized or treated by a doctor in the last ten years for other than routine exams ?  Yes   No    

Have you ever been treated for mental, drug or alcohol disorders ?   Yes   No    

Are you willing to consent to a drug test ?   Yes   No    

Have you ever been fired or terminated for any cause ?   Yes   No    

If yes to any of the above, please describe in detail.

Have you ever used illegal drugs or Marijuana ?    Yes   No    

If yes, to what extent ? 

Have you ever been bonded ?   Yes   No    

Have you ever been rufused a bond ?   Yes   No    

How many traffic tickets have you received in the past three (3) years ?

Are the tickets cleared?   Yes   No    

EDUCATIONAL BACKGROOUND

Type of School Name and Address                                            # Years Attended Graduated Major        
High School

Yes

No

College

Yes

No

Post Graduate

Yes

No

Business or Trade

Yes

No

Other Educational

Courses (Seminars,

workshops, etc.)

Yes

No

 

 

 

 

 

 

 

 

 

 

 

ADDITIONAL INFORMATION

What are your career goals ?  

Note here any facts you may wish to present for consideration, such as, how you feel you may benefit Firstwatch.

 

Briefly describe, in your own words, the most significant event in your life up to this point.

 

EMPLOYMENT EXPERIENCE

List in order, for the past five years, most recent or present employer first. Account for periods of unemployment.

For each emplyer describe each job you held separately, using a seperate block for each position held.

Are you currently empolyed ?   Yes   No      _________________________________________________________________________________________________

Employer  Position 

Address

Supervisor's Name   Title  Phone                                                          May we contact this employer?  Yes   No                                                                                                                                                              Employed from :   To:       Earning per year:  Starting:   Ending: 

Explain duties: 

Rerason for leaving:     __________________________________________________________________________________________________

Employer  Position 

Address

Supervisor's Name   Title  Phone                                                           May we contact this employer?  Yes   No                                                                                                                                                             Employed from :   To:       Earning per year:  Starting:   Ending: 

Explain duties: 

Rerason for leaving:     __________________________________________________________________________________________________

Employer  Position 

Address

Supervisor's Name   Title  Phone                                                      May we contact this employer?  Yes   No                                                                                                                                                                 Employed from :   To:       Earning per year:  Starting:   Ending: 

Explain duties: 

Rerason for leaving:     __________________________________________________________________________________________________

Employer  Position 

Address

Supervisor's Name   Title  Phone                                                     May we contact this employer?  Yes   No                                                                                                                                                             Employed from :   To:       Earning per year:  Starting:   Ending: 

Explain duties: 

Rerason for leaving:     __________________________________________________________________________________________________

I hereby grant permission to Firstwatch Security to process references, checked yes, with above employers, and save harmless both Firstwatch, its agents and any of my employers if said information is instrumental in my not being hired for a position with Firstwatch Security.

Signature      Date 

MILITARY SERVICE RECORD

Have you ever served in the armed forces, any reserve unit or the National Guard ?   Yes   No                                                                                        If yes, what branch ? 

Dates of Duty   From:   To:     

Rank at discharge :    Type of Discharge:                                                                    

Did you have a security clearance from the Military ?  Yes   No      

If yes, what type ?                                                                                                    What were your duties in the service                                                                                                                                                                               ( include special training and duty station ) ?   

REFERENCES

Give the names of three persons whom you have known for at least five years. Do not list relatives or persons by whom you have been employed.

1.       Name                                                                                    Occupation                                       Phone                                         Address                                                                                 City                                                         State       Zip    

 

2.       Name                                                                                    Occupation                                       Phone                                         Address                                                                                 City                                                         State       Zip   

 

3.       Name                                                                                    Occupation                                       Phone                                         Address                                                                                 City                                                         State       Zip   

In consideration of the employment and wages to be paid to me by the Company, I make the following declaration:

    I authorize investigation of all matters contained in the application and agree that if, in the judgement of the Company, any misrepresentation has been made by me herein, or if the results of such investigation are not satisfactory, and offer of employment made by the Company may be withdrawn, or my employment with the Company may be terminated immediately without any obligation or liability to me, other than for payment at the rate agreed upon, for services actually rendered if I have been employed.

   I understand that part of being considered for employment by Firstwatch Security is that I submit to a drug test and pre-employment physical. If I refuse to submit to either, then I have withdrawn my application.

    I understand that all appointments are probationary, during which time I must demonstrate my fitness for continued employment. I further certify that all statements made by me or on this application are true and complete to the best of my knowledge and belief.

                     Signature                                                                                                                                                        Date

Thank you for completing this application form and for your interest in employment with us. We would like to assure you that your opportuinity for employment with Firstwatch will be based on your merit and on no other consideration.

Firstwatch Security is an Equal Opportunity Employer (EOE)