United Security

Insured & State Licensed

Personal Information

Last Name

First Name

Middle Initial

Date of Birth: Month

Month Day Year

Driver License:

Social Security #

Home Address:

City

State

Zip-code

Home Phone

(best number to reach you)

Cell Phone

United State Citizen

YES NO

If not, please give VISA # & Expiration:

If hired, can you furnish proof you are eligible to work in the U.S.?::Yes No

Do you have a guard card? Yes

No Expiration Date

Do you have any of the following permits/license?

Gun: Yes No Baton: Yes No CPR: Yes No

Job Applied for

Salary Details

Are you seeking: Full-time Part-time Temporary employment?

Referred By

Date you can Start

When could you start work?

Are you available on Holidays?

Yes No

Desired Time: (Check all that apply)

Day Shift Swing Shift Graveyard Shift

Availablity:

Day	Start Time	End Time
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Were you ever employed here? Yes No

If yes, when?

Have you ever been convicted of any law violation (except a minor traffic violation)?Yes No

If yes, give detail

(A "Yes" answer does not automatically disqualify you from employment,. since the nature of the offense, date, and the job for which you are applying will also be considered.)

Are you now or do you expect to be engaged in any other business or employment? Yes No

If yes, please explain

Education and Skills

High School or GED:

Year Graduated:

College or University

Major/Degree Earned

Vocational or Technical:

Major/Degree Earned

What skills or additional training do you have that are related to the job for which you are applying?

Employer

Postion:

Address:

City

State

Zip-code

Supervisor

Telephone

Employment Date: From

From To

Pay:

Starting $ - Ending $

Reason for Leaving:

Employment History # 2

Employer

Postion:

Address:

City:

State :

Zip-code:

Supervisor:

Telephone:

Employment Date:

From - To

Reason for Leaving:

Employment History # 3

Employer

Postion:

Address:

City:

Supervisor:

Telephone:

Employment Date:

From - To

Reason for Leaving:

Emergency Contacts

Name:

Telephone:

Relationship:

Name:

Telephone:

Relationship:

Name:

Telephone:

Relationship:

	United Security Services is an Equal Opportunity Employer (EOE). United Security Services does not discriminate on the basis of race, color, creed, national origin, religion, gender, age, disability, sexual orientation, lack of English skills, arrest or conviction record, political affiliation, marital status, or other protected categories, in its services, employment, programs, and/or its educational programs and activities, including but not limited to admissions, access and participation. The College attempts to be in compliance with all federal laws including but not limited to Title IX & Section 504.
	I certify that the facts contained in this application are true and correct to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the reference and employers listed above to give you any and all information concerning my previous employment, and release the company from all liability for any damages that may result from utilization of such information. Full Name:

We offer our professional services to all of Orange County including Aliso Viejo, Anaheim, Brea, Buena Park, Costa Mesa, Cypress, Dana Point, Fountain Valley, Fullerton, Garden Grove, Huntington Beach, Irvine, La Habra, La Palma, Laguna Beach, Laguna Hills, Laguna Niguel, Laguna Woods, Lake Forest, Los Alamitos, Mission Viejo, Newport Beach, Orange, Placentia, Rancho Santa Margarita, San Clemente, San Juan Capistrano, Santa Ana, Seal Beach, Stanton, Tustin, Villa Park, Westminster, Yorba Linda. More on Security Services Orange County >>

Los Angeles: Alhambra, Arcadia, Artesia, Azusa,Baldwin Park, Bell, Bell Gardens, Bellflower, Beverly Hills, Bradbury, Brentwood, Carson, Cerritos, Claremont, Commerce, Compton, Covina, Cudahy,Culver, Diamond Bar, Downey, Duarte, El Monte, El Segundo, Gardena, Glendale, Glendora, Hawaiian Gardens,Hawthorne, Hermosa Beach, Huntington Park, Industry, Inglewood, Irwindale, La Mirada, La Puente, La Verne, Lakewood, Lawndale, Lomita, Long Beach, Lynwood, Manhattan Beach, Monrovia, Montebello, Monterey Park, Norwalk, Palos Verdes Estates, Paramount, Pasadena, Pico Rivera, Pomona, Rancho Palos Verdes, Redondo Beach, Rolling Hills, Rolling Hills Estates, Rosemead, San Dimas, San Gabriel, San Marino, Santa Clarita, Santa Fe Springs, Santa Monica, Sierra Madre, Signal Hill, South El Monte, South Gate, Temple, Torrance, Vernon, Walnut, West Covina, West Hollywood, Whittier. More on Security Services Los Angeles >>

Inland Empire Riverside, San Bernardino and surrounding areas: Alta Loma, Chino, Chino Hills, Colton, Corona, Etiwanda, Fontana, Grand Terrace, Highland, Mira Loma, Montclair, Moreno Valley, Norco, Ontario, Rancho Cucamonga, Rialto, Riverside, Rubidoux, Upland. More on Security Services Riverside >>

San Diego and sorrounding areas