Name and Contact Information

Address (No PO Boxes Allowed)

Position Information

Have you ever applied for work with Premiere Security Services before?
Are you seeking full or part time work? (Hold down the Ctrl button to make multiple selections)
If employed and you are under 18 can you furnish a work permit?
Do you have a valid drivers license?
Do you have reliable transportation?
Are you willing to travel up to 40 miles one way from your home to a job site?

Guard/Military Experience

Have you served in the US military?

License Information

Please indicate the Security Guard licenses you possess. Check all that apply.

Legal Information

Have you ever been convicted of a misdemeanor or felony?
The nature of security work is demanding physically and mentally. It requires walking for long periods of time, running, bike riding, lifting, pushing, pulling & bending. It also requires mental acuity in judgment, observation and memory, vision to see near & far and hearing others speak. Do you have any limitations that will prevent you from performing your duties & responsibilities in an emergency situation that may involve some or all of the physical and mental demands above?
Premiere Protection Services maintains a crime and drug free work environment. To apply for a employment you acknowledge your willingness to submit to a criminal background check and an initial drug test and if employed to fingerprinting and random drug testing as a requirement for employment.
For purposes of compliance with The Immigration Reform and Control Act, are you legally eligible for employment in the United States? Under the Immigration Reform and Control Act of 1986, you will be required to fill out a certification verifying that you are eligible to be employed and verifying your identity. Further, you will be required to provide documentation to that effect should you be employed.

Employment History

May we contact your current employer?
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY

Personal References


I hereby certify that all entries are true and complete, and I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part of any employment in the service of Premiere Protection Services, Inc.. I understand that all information on this application is subject to verification and I consent to criminal history background checks. I also consent that you may contact references, former employers and educational institutions listed regarding this application. I further authorize Premiere Protection Services, Inc. to rely upon and use, as it sees fit, any information received from such contacts. Information contained on this application may be disseminated to other government and nongovernmental organizations or systems on a need-to-know basis for good cause shown as determined by law or Premiere Protection Services, Inc.
MM slash DD slash YYYY
By clicking the SUBMIT button below I agree and understand that I am digitally signing this application for employment. Information about my computer and I.P. address are also being recorded with my consent.