Application Date: (mm/dd/yyyy)
Street Address (Residence):
Have you ever been convicted of a:
Have you recently been arrested for any matter for which you are on bail or on your
own recognizance pending trial?
Educational Status (Check the highest level that you completed):
Elementary SchoolSecondary SchoolSome High
SchoolG.E.DHigh School GraduateSome CollegeVoc./Tech SchoolAssociate DegreeBachelor
Do you have prior security guard experience?
Citizenship documentation will be required?
US CitizenEligible Non-CitizenIneligible
How were you referred?
Date of Birth:
Are you a veteran of the U.S. Armed Forces?
NoYES – ArmyYES – Air ForceYES
– MarinesYES - NavyYES – US Coast Guard
Are you on any Public Aid or Public Assistance?
Are you currently working? If so where? How many hours per week and hourly
rate of pay?
This course is two weeks in length and taught weekdays from 8:30am to 4pm. Can
you commit to that schedule?
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