Job Opportunities

Grand Lake Security Center

Alarm #0066 Oklahoma State Licensed Security Guard SGA 0336

26 Years Serving Grand Lake and Surrounding Areas

Application For Employment PRE-EMPLOYMENT QUESTIONAIRE AN EQUAL OPPORTUNITY EMPLOYER

**Personal Information:**
First Name	Last Name	Middle Initial
Date of Birth	Driver License No.	Social Security No.
Street Address	Apartment No.	P.O. Box
City	State	Zip code
Phone Number	Are you 18 or older? Yes No	Email

**Desired Employment:**
Position	Date you can start	Salary Desired
Currently Employed? Yes No	IF so may we Inquire? Yes No	Ever apply here before? Yes No
If so When?	Reason for leaving?	Supervisors Name(s)
Who referred you?	Any special training?	Hours Desired
Available weekends? Yes No	Available holidays? Yes No	Transportation? Yes No

**Employment History:(last employer first)**
Employer #1 Name	Dates at #1	Reason for leaving
Employer #2 Name	Dates at #2	Reason for leaving
Employer #3 Name	Dates at #3	Reason for leaving

**References:**
Name and Relation	Address and Phone No.	How long known
Name and Relation	Address and phone No.	How long known
Name and Relation	Address and phone No.	How long known

HAVE YOU BEEN CONVICTED OF A FELONY OR MISDEMEANOR ?
yes no

If Yes, Please Explain

"I certify that the facts contained in this application are true and complete to 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 herin and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has and authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it its in writing and signed by and authorized company representative."

Name and Date

You may also fax a resume to: (918) 782-2731