Employment Application

Applicant Information

First Name

(required)

Last Name

(required)

AKA: Have you ever gone by another name

Street Address

City

State

Zip Code

Home Phone

(required)

Cell Phone

(required)

(valid email required)

Driver's License Number

State of License

Exp. Date

Do you own or have the use of a vehicle?

Do you have a valid pistol permit?

If yes, give permit number

Date permit issued

Type of permit

CCW
Exposed Firearms Permit
Law Enforcement Officer

Do you have a valid Guard Card?

If yes, what is your Guard Card number?

Exp. date of your license

Are you a registered armed guard?

If yes, what is your Firearms Permit Number

All applicants are required to have a full criminal background check completed and on file including an employee statement form from the state of New York. Therefore, you are required to provide your:

Date of Birth

(required)

Criminal Convictions

List here a complete list of criminal convictions: Failure to do so is grounds for immediate termination if hired.
Ever been convicted of a felony?
If yes, give date, where and type
Have you ever been convicted of a misdemeanor?
If yes, give date, where and type
Are you a registered sex offender?
If yes, give level 123
Where are you registered?
Have you ever been named in a child protective services case?
If yes, give where, when, why and disposition of case(s).
Are you named in any protection order from any state in the United States?
If yes, give where, when and why
Are you presently under any type of restraining order?
If yes, give where, when and why
Have you ever been convicted of domestic violence?
If yes, give where, when and why
Is there anything we should know about that may show up in your background check?