Name
*
First Name
Last Name
Email
*
Cell Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Are you 18 years or older?
*
-Select-
Yes
No
Date of Birth
*
MM
DD
YYYY
Which position are you licensed to work?
*
-Select-
Armed
Unarmed
Which location are you willing to work?
*
Would you work full time?
*
-Select-
Yes
No
If part time only, specify days/hours
If your application is considered, what date will you be available to start?
*
MM
DD
YYYY
Do you have reliable transport?
*
-Select-
Yes
No
Do you have smart phone?
*
-Select-
Yes
No
Are you available to work on call?
*
-Select-
Yes
No
What hours can you work?
Please specify hours for each day of the week.
Business name 1
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Job Title
Start date of employment
MM
DD
YYYY
End date of employment
MM
DD
YYYY
Name of supervisor
First Name
Last Name
Supervisor's phone
(###)
###
####
May we contact this person?
If not, who may we contact?
Their phone number
(###)
###
####
Reason for leaving
Describe in detail the work you did
Highest level completed
*
Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Major/Minor
*
Last year completed
*
Your other experiences, skills, certifications, or qualifications
BSIS guard card #
Exposed fire armed permit #
Are you licensed to drive a car?
If yes, in what state?
-Select-
Multi-States
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
License No.
Have you been in the U.S. Armed Forces?
If yes, what branch?
Start date of duty
MM
DD
YYYY
End date of duty
MM
DD
YYYY
Rank at discharge
List duties in service, including special training (unless listed above under Record Of Education):
Name
First Name
Last Name
Relationship
Occupation
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
DISCLAIMER
*
1. Nothing on this application is intended to create or imply a contractual relationship. If hired, the applicant understands that employment is at-will and may be terminated by the applicant or the company at any time with or without reason.
2. Applicant gives Bionic Protection Legal Right to check all Personal Information, Work Experience, Record Of Education, Military Service Record, Permits and License verification.
3. I verify that the statements I have made here on this application are true and complete. I understand that if I am hired, any false or incomplete information in this application will provide grounds for discharge.
