Careers With APA Security.

• Personal Information

  First Name
  Last Name
  Middle Initial
  Title
  Organization
  Work Phone
  Home Phone
  FAX
  E-mail
  URL

  Today's Date

  -- mm/dd/yy
   

• Date of Birth:

  -- mm/dd/yy
   

• Social Security #:

  
   

• Place of Birth?

  
   

• Have you ever applied at or been employed by APA SECURITY?

  Yes No
   

• If yes, Month, Year and Location:

  
   

• Position desired?

  Security Professional Management Administration Investigations Sales other
   

• If other, Please explain:

  
   

• Wage Requirement:

  
   

• Are you over 18 Years of age?

  Yes No
   

• Type of employment desired?

  Full Time (Permanent) Part Time (Permanent) Full Time (Temporary) Part Time (Temporary)
   

• Shift Desired:

  8-4 4-12 12-8
   

• Will you work overtime if asked?

  Yes No
   

• When will you be able to begin work?

  -- mm/dd/yy
   

• Are you willing to travel?

  Yes No
   

• Are you able to work Saturday?

  Yes No
   

• Are you able to work Sunday?

  Yes No

• College

  School
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  FAX
  E-mail
  URL

• # of Years completed:

  
   

• Did you graduate?

  Yes No
   

• Degree or Diploma:

  
   

• Business/Trade or Technical School:

  School
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  FAX
  E-mail
  URL

• # of Years completed:

  
   

• Did you graduate?

  Yes No
   

• Degree or Diploma:

  
   

• High School:

  School
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  FAX
  E-mail
  URL

• # of years completed:

  
   

• Did you graduate?

  Yes No
   

• Degree or diploma:

  
   

• G.E.D. (If Applicable)

  School
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  FAX
  E-mail
  URL

• Do you have your G.E.D. certificate?

  Yes No
   

• Emergency Contact:

  Name
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  Home Phone
  FAX
  E-mail
  URL

• Relationship:

  
   

  Employment History

  Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employer and account for your last 10 years of employment. You may include volunteer positions.

   

• Company 1:

  Title
  Organization
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  FAX
  E-mail
  URL

• Employment Dates From:

  -- mm/dd/yy
   

• TO:

  -- mm/dd/yy
   

• Reason for leaving?

• Company 2:

  Title
  Organization
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  FAX
  E-mail
  URL

• Employment Dates From:

  -- mm/dd/yy
   

• TO:

  -- mm/dd/yy
   

• Reason for leaving?

• Company 3:

  Title
  Organization
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  FAX
  E-mail
  URL

• Employment Dates From:

  -- mm/dd/yy
   

• TO:

  -- mm/dd/yy
   

• Reason for leaving?

  
   

• Personal Reference 1

  First Name
  Last Name
  Middle Initial
  Title
  Organization
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  Home Phone
  FAX
  E-mail
  URL

• Personal Reference 2

  Name
  Title
  Organization
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  Home Phone
  FAX
  E-mail
  URL

• Personal Reference 3:

  Name
  Title
  Organization
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  Home Phone
  FAX
  E-mail
  URL

This information requested is needed for a legally permissible reason. All information will be held in strictest confidence.

• Are you a US Citizen?

  Yes No
   

• If no, Alien Registration #:

  
   

• Please identify and describe yourself:

  Sex	Male Female
  Height
  Weight
  Hair Color	Blonde Brown Black Red Gray White
  Eye Color	Blue Brown Black Green Gray Violet

• Did you serve in the military?

  Yes No
   

• If yes, what branch?

  Army Navy Marines Air Force Coast Guard

• Dates of service FROM:

  -- mm/dd/yy
   

• Dates of service TO:

  -- mm/dd/yy
   

• Rank at discharge?

  
   

• Type of discharge?

  
   

• Are you studying at the present time?

  Yes No
   

• If yes, What subject?

  
   

• Where?

  
   

• What was your previous address?

  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Home Phone
  E-mail
  # of Years?

• How long at your present address?

  # of years
   

• Have you ever been bonded?

  Yes No
   

• Do you have a valid permanent Driver's License?

  Yes No
   

• State of issue:

  
   

• License Number:

  
   

• Have you ever been convicted of a crime in the past ten Years, including misdemeanors and summary offences, which has NOT been annulled, expunged or sealed by a court?

  Yes No
   

• If "yes", Please describe in full. This information will be verified.

  
   

• State names of relatives and friends working for us, other than your spouse.

  
   

• Do you have a physical condition which may limit your ability to perform the job for which you are applying?

  Yes No
   

• If yes, Please describe the condition and how you can perform the job in spite of it:

  
   

• Identify any special training or skills you have (languages, emergency medicine etc.)