Employment application

Kingdom Security, Inc. is an equal opportunity employer. We consider applicants for all positions without regard for race, creed, religion, sex, ethnicity, age, sexual orientation, marital or veteran status, the presence of a non - job related medical condition or handicap, and any other legally protected status. It is our policy to abide by all federal, provincial, and local laws concerning discrimination in employment. No question in this application is intended to elicit information in violation of any such law nor will any information obtained in response to any question be used in violation of any such law.

Complete the following application as accurately and thoroughly as possible.

PERSONAL INFORMATION

Last name:

First name:

Middle name:

Address:

City:

State:

Zip:

Phone:

Do you currently hold a valid security license? (Not a driver's license)

Yes No

If yes, indicate number and expiry date .

Number:
Expiry date:
Province:

Do you currently hold a valid first aid certificate?

Yes No

If yes, indicate level.

Level:

Do you currently hold a valid driver's license?

Yes No

If yes, indicate expiry date and number.

Exp.Date:
Number:

Do you have a clean driving record?

Yes No

Have you been found guilty or been convicted of a crime under the law of any country?

Yes No

Your birthdate:

List birthdate for a criminal record check

Are you legally entitled to work in the us?

Yes No

Do you have your own transportation?

Yes No

Are you currently employed, and if so, by whom?

Yes No

Employer:

Your availabilty to begain training and work:

Wage expectaions:

Do you prefer part-time or full-time work?

Part-time Full-time Either

Are you available for overtime shifts?

Yes No

Are you available for on-call work?

Yes No

Is your availability to work limited in any way?

Yes No

If yes, please elaborate:

Limitations:
If no, do you agree to accept any shift, day or night:
Day Night

EMPLOYMENT HISTORY (Most recent)

Company Name:
Location (City, Province):
Type of Business:
Your Position:
Immediate Supervisor's Name:
Their Phone Number:
May we contact for reference?	Yes No
Start Date:
End Date:
Starting wage/salary:
Final wage/salary:
Please detail your reason for leaving:

PRIOR EMPLOYMENT HISTORY

Company Name:
Location (City, Province):
Type of Business:
Your Position:
Immediate Supervisor's Name:
Their Phone Number:
May we contact for reference?	Yes No
Start Date:
End Date:
Starting wage/salary:
Final wage/salary:
Please detail your reason for leaving:

EDUCATIONAL DETAILS

Name of School:
City & State of School:
Course/s of Study:
Number of Years Completed:
Name of College/University:
City & State of College:
Course/s of Study:
Number of Years Completed:
Did You Graduate?	Yes No
Degree or Diploma:	Degree Deploma
Other Qualifications:

REFERENCES

(List three local references who are neither related to or employed by you and who are competent to judge your character and who have knowledge of your competence and fitness)

A. First Reference:

Name of Reference:
Title:
Business or Occupation:
Years Known:
Phone number:

B. Second Reference:

Name of Reference:
Title:
Business or Occupation:
Years Known:
Phone number:

C. Third Reference:

Name of Reference:
Title:
Business or Occupation:
Years Known:
Phone number:

ACTIVITIES, HOBBIES, VOLUNTEER WORK

Please describe some of your primary interests away from work:

SOURCE OF INQUIRY

Please state specifically where you learned about this employment opportunity with kingdom security, inc.

(eg. newspaper, radio, word of mouth, radio, internet, yellow pages, etc).

ADDITIONAL REMARKS

Please describe the contribution and commitment we could expect from you if you were offered a position with the kingdom security, inc.group

Applicant's Certification and Agreement

I understand that any offer of employment regarding certain job positions may be conditioned on satisfactory completion of a medical examination and/or a drug and alcohol screen. I agree to sign a release of medical information authorization form and to submit to a medical examination and/or drug and alcohol screen should the Company condition my offer of employment upon successful completion of such an examination or screening.
I certify, under penalty of perjury, that all of the above information is true and complete, and I understand that any misrepresentation, falsification or omission of information may result in the denial of employment or, if hired, may result in termination regardless of the amount of time that has passed.
I authorize the Company to contact my former employers, references and any and all other persons and organization for information bearing upon my qualifications for employment. I further authorize the listed employers, schools and personal references to give the Company (without further notice to me) any and all information about my previous employment and education, along with any other pertinent information they may have.
I expressly agree and understand that, if employed, my employment, having no specific term, is based upon mutual consent and may be terminated at will, with or without cause or notice, by either party (the Company or me). I also understand that this aspect of my employment, which includes the Company's right to demote or otherwise discipline with or without cause or notice, may not be changed, modified, amended or rescinded except by an individual written agreement signed by both me and the President of the Company.

I acknowledge that I have read all of the above statements and that I understand them. In addition, the statements above supersede and replace any prior understandings or discussions I have had with the Company and set forth the complete agreement between me and the Company regarding these matters.

I Agree I Do Not Agree