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

Address

City

State/Province

Country

Resume

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

Yes No

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

Yes No

Do you have a reliable vehicle you can use every day?

* 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

Do you have a high school diploma or the equivalent?

Yes No

Have you previously applied and/or been employed with our company?

Yes No

Have you ever served in the armed forces of the United States?

Yes No

If yes, What type of discharge?

Start Date

End Date

Company Name

Address (Street, CIty State, Zip)

Phone Number

Title of Final Position

Final Wage

Reason for Leaving

Start Date

End Date

Company Name

Address (Street, CIty State, Zip)

Phone Number

Title of Final Position

Final Wage

Reason for Leaving

Start Date

End Date

Company Name

Address (Street, CIty State, Zip)

Start Date

End Date

Company Name

Address (Street, CIty State, Zip)

Phone Number

Title of Final Position

Final Wage

Reason for Leaving

Phone Number

Title of Final Position

Final Wage

Reason for Leaving

Thank you for your interest!

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