Registration: Information Protection Services

APPLICATION FOR EMPLOYMENT

Physical Security Division

Information Protection Services, Inc. (hereinafter “Company”) is an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state, or local laws.


* required field
APPLICANT INFORMATION
 

Personal Information
ARE YOU 18 YEARS OF AGE OR OVER?
 Yes  No
ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE UNITED STATES? (If offered employment, you will be required to provide documentation to verify eligibility)
 Yes  No
WHO REFERRED YOU OR HOW DID YOU HEAR ABOUT US?
HAVE YOU EVER WORKED FOR THIS COMPANY?
 Yes  No
IF YES, WHEN?
DO YOU CURRENTLY HOLD A STATE OF CALIFORNIA ISSUED GUARD CARD?
 Yes  No
IF YES, PLEASE PROVIDE YOUR GUARD CARD NUMBER:
GUARD CARD NUMBER EXPIRATION DATE
IF YES, DO YOU HOLD ANY PERMITS?
EXPOSED WEAPON
TEAR GAS
BATON CERTIFICATION

Placement Information
What position are you applying for?
Desired salary/hourly rate
Date available to start
Type of employment desired
FULL-TIME
PART-TIME
TEMPORARY/SEASONAL
PREFERRED SHIFT(S)
MORNING
SWING
OVERNIGHT
HOURS AVAILABLE TO WORK (SUNDAY - SATURDAY)

Education History
High School Name
High School Location
High School Major
Level/Years High School Completed
Type of High School Degree or Certificate
High School GPA
Undergraduate School Name
Undergraduate School Location
Undergraduate School Major
Level/Years Undergraduate School Completed
Type of Undergraduate Degree or Certificate
Undergraduate GPA
Graduate School Name
Graduate School Location
Graduate School Major
Level/Years Graduate School Completed
Type of Graduate Degree or Certificate
Graduate School GPA
Other School Name
Other School Location
Other School Major
Level/Years Other School Completed
Type of Other School Degree or Certificate
Other School GPA

Employment History
Please list all employers with current or most recent employment first. If self-employed, supply firm name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service.
Employer A
Employer A Telephone Number
Employer A Supervisor Name
Employer A Address
Employer A Dates of Employment
Employer A Position
Description of Duties for Employer A
Reason for Leaving Employer A
May we contact Employer A for Reference?
 Yes  No
Employer B
Employer B Telephone Number
Employer B Supervisor Name
Employer B Address
Dates of Employment for Employer B
Position with Employer B
DESCRIPTION OF DUTIES FOR EMPLOYER B
Reason for Leaving Employer B
MAY WE CONTACT EMPLOYER B FOR REFERENCE?
 Yes  No
Employer C
Employer C Telephone Number
Employer C Supervisor Name
Employer C Address
Dates of Employment for Employer C
POSITION WITH EMPLOYER C
DESCRIPTION OF DUTIES FOR EMPLOYER C
Reason for Leaving Employer C
MAY WE CONTACT EMPLOYER C FOR REFERENCE?
 Yes  No

References
Reference A Name
Reference A Phone Number
Reference A Occupation
Reference A Years Known
Reference B Name
Reference B Phone Number
Reference B Occupation
Reference B Years Known
Reference C Name
Reference C Phone Number
Reference C Occupation
Reference C Years Known
PLEASE LIST ANY ADDITIONAL SKILLS AND/OR TRAINING THAT YOU FEEL WOULD MAKE YOU A MORE QUALIFIED APPLICANT FOR THE POSITION THAT YOU ARE APPLYING FOR.
If an employment offer is made, I agree to submit to a physical examination and to subsequent physical examinations when requested by the company. Furthermore, I understand that failure and/or refusal to submit to such an examination(s) are grounds for dismissal. I also understand that completing this application releases any liability from the Company from giving or obtaining information regarding me from or to my former/current employers, regardless of whether such information is on written record or not. I also attest that the information given on this application is true and correct and I understand that intentional misrepresentation and or giving of false statements with regard to myself is grounds for immediate dismissal.
The Company is an at-will employer as allowed by applicable state law. This means that regardless of any provision in this application, if hired, the Company may terminate the employment relationship at any time, for any reason, with or without cause or notice.

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We appreciate your time and interest


 
 

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