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Applicant Information

First Name

Last Name

Phone Number

Address

Date Of Application

Employment Position

Position(s) applying for: Security Ops & Admin

How did you hear about this position?

Which state are you applying for?

What days are you available for work?

What hours or shift are you available for work?

Days Evenings Overnight

If needed, are you available to work overtime?

Yes No

On what date can you start working if you are hired?

Do you have reliable transportation to and from work?

Yes No

What is your Drivers License Number?

Personal Information

Have you ever applied to or worked for Proteus Protective Services before?

Yes No

If yes, when?

Do you have any friends, relatives, or acquaintances working for Proteus Protective Services?

Yes No

If yes, state name & relationship:

Are you 18 years of age or older?

Yes No

Are you a U.S. citizen or approved to work in the United States?

Yes No

What document can you provide as proof of citizenship or legal status?

Will you consent to a mandatory controlled substance test?

Yes No

Do you have any condition which would require job accommodations?

Yes No

If yes, please describe accommodations required below:

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

Yes No

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

Education and Training

High School

Name of High School

Location

Year Graduated

College/University

Name of College/University

Location

Year Graduated

Degree Earned

Vocational School/Specialized Training

Name of Vocational School/Specialized Training

Location

Year Graduated

Degree Earned

Military

Are you or have you previously been a member of the Armed Services?

Yes No

What branch of the military did you enlist?

What is your military rank, or what was your military ranck when discharged?

How many years have you served in the military?

What military skills do you possess that would be an asset for this position?

Previous Employment

Current or Previous Employer #1

Employer Name

Job Title

Supervisor Name

Employer Address

Employer Phone Number

Dates Employed

Reason For Leaving

Previous Employer #2

Employer Name

Job Title

Supervisor Name

Employer Address

Employer Phone Number

Dates Employed

Reason For Leaving

Previous Employer #3

Employer Name

Job Title

Supervisor Name

Employer Address

Employer Phone Number

Dates Employed

Reason For Leaving

References

Please provide 3 personal and professional referece(s) below.

Reference #1

First Name

Last Name

Reference #1 Contact Information

Reference #2

First Name

Last Name

Reference #2 Contact Information

Reference #3

First Name

Last Name

Reference #3 Contact Information

Additional Information

What is your Florida D Security License Number?

What is your Florida G Security License Number?

Do You Have a TWIC?

Yes No

At-Will Employment

The relationship between you and the Proteus Protective Services is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Proteus Protective Services. No representative of Proteus Protective Services has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

Date of acceptance

Join The Proteus Team

Applicant Information

Employment Position

Personal Information

Education and Training

Previous Employment

References

Additional Information

At-Will Employment