Grand Lake Security Center

Alarm #0066                                   Oklahoma State Licensed                           Security Guard SGA 0336

24 Years Serving Grand Lake and Surrounding Areas

 
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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