Liberty Security Group Scheduling Registration

Registration: Liberty Security Group Scheduling

If you have not yet registered for access to our online scheduling system, please complete the following form.

* required field

* First Name

* Last Name

* Email

* Zip/Postal Code

Primary/Home Phone

* Mobile Phone

Other/Work Phone

Pager

Fax

Address

City

State/Province

Country

Resume

* What is your Shift availability?

Days

Afternoons

Midnights

* Are you willing to work weekends?

Yes No

* Are you willing to travel up to 50 miles to a job site?

Yes No

* Security Experience?

Yes No

Name of previous security company

Name of previous site worked

Address of previous site worked (Name/address / city / state)

Hourly Pay Rate

Job Title

Name of Site Supervisor

Name of Client Contact

* Do you have an internet enabled mobile phone (smartphone)

Yes No

* If yes, what type of phone is it?

* Are you willing to work on an "as needed" basis until full time work becomes available?

Yes No

* How did you hear about us?

* Do you have a State of Michigan CPL?

Yes No

If yes, enter your CPL #

CPL Expiration Date

* Do you have a valid MI Driver's License?

Yes No

Number of Points on your Driver's License

* Have you ever been convicted of a felony, or a misdemeanor involving any violent act, use or possession of a weapon or act of dishonesty for which the record has not been sealed or expunged?

Yes No

Thank you for your interest!

Wyandotte, Michigan 48192
(855) 457-4732

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