Join The Team – Protective Security

Name (first, middle & last) *

Email *

Phone *

Address *

City *

Zip Code *

Do you have a security guard card? *

Yes No

If yes, is the card current? *

Yes No Do not have one.

Hours or days you CANNOT work. *

Valid DL? *

Yes No

Use public transportation only?

Yes No

Own a dependable vehicle?

Yes No

Date of Birth *

Wear glasses?

Yes No

Wear contacts?

Yes No

Military Service

Yes (fill out next) No (skip to training section)

Branch of Service

Type of Discharge

Date Start Service

Date End Service

Primary Specialty

Highest Rank

Current or Most Recent Employer

Address

City

Zip

Date Started

Date Ended

Job Title

Job Supervisor

Previous Employer #1

Address

City

Zip Code

Date Started

Date Ended

Job Title

Job Supervisor

Previous Employer #2

Address

City

Zip Code

Date Started

Date Ended

Job Title

Job Supervisor

Previous Employer #3

Address

City

Zip Code

Date Started

Date Ended

Job Title

Job Supervisor

10 Year Residence History

Move In Date

Move Out

Residence #2

Move In

Move Out

Residence #3

Move In

Move Out

Background

Have you ever been discharged for dishonesty? *

Yes No

Have you ever been discharged for insobriety? *

Yes No

Have you ever been arrested or convicted of a crime? *

Yes No

Have you ever used or tried (check all that apply) *

never tried any street marijuana medical cannabis (prescribed to you) cocaine illegal narcotics

Abilities Section

Can you stand for an 8hr period? *

Yes No

Can you run 100 yards without stopping? *

Yes No

Can you distinguish colors? *

Yes No

Can you drive a vehicle? *

Yes No

Can you hear conversation on a standard telephone? *

Yes No

Can you walk 50 minutes out of each hour for an 8hr period?

Yes No

Can you sit for an extended period of time? *

Yes No

Can you smell smoke, chemical and gas odors? *

Yes No

Can you bend or squat? *

Yes No

Can you stay calm during an emergency? *

Yes No

Can you hear telephone rings? *

Yes No

Can you dial a telephone? *

Yes No

Can you ride a bicycle? *

Yes No

Can you read signs for directions, such as: left, right, up and down? *

Yes No

Can you work a regular schedule without incurring unexpected absences? *

Yes No

Can you respond to emergencies? *

Yes No

Can you maintain alertness for extended periods to respond to an emergency? *

Yes No

Sign Application

Understand that any false or misleading information provided by me on this application shall be grounds for immediate dismissal any time during my employment with Unified. It is understood that my employment is subject to my satisfactorily meeting the requirements of a security background investigation, to which I hereby consent, and subject to undergoing a medical examination the results of which how that I can perform the essential functions of the job, with or without reasonable accommodation, without posing a direct threat to the health or safety of myself or others.

Type Name & Date (in place of hand written signature) *

Upload Resume (if you have one)

JOIN THE PROTECTIVE TEAM