SIMBA GUARDS SECURITY SERVICES
+1 (818) 809-2555
info@simbaguards.com
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REQUEST A QUOTE
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1. Personal Information
*
Full Name
Date Of Birth
*
Email
*
Social Security Number
*
Phone Number
*
Current Address
*
Have you ever been known by any other name?
*
Yes
No
If you chose yes above, please list
2. Emergency Contact Information
*
Emergency Contact
Relationship
*
Emergency Contact Phone number
*
Emergency Contact Address
*
Your Employment History
*
Please provide your last two jobs (most recent first).
Position
Date From
Date To
Duties and Responsibilities
Reason for Leaving
Personal Date Of
Supervisor's Name
Supervisor's Phone Number
Second Company Name
Company Name
Date From
Date To
Duties and Responsibilities
Reason for Leaving
Supervisor's Name
Supervisor's Phone Number
3. Education and Training
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Highest Level of Education Completed
Name of School/Institution
*
Location of the School/Institution
*
Degree or Certification
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Relevant Security Training (e.g., Security Guard License, First Aid, CPR etc.)
*
4. Licensing and Certification
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Yes
No
Do you have a valid security guard license? Yes/No
License Number
State of Issue
Expiration Date
Do you have a valid driver’s license?
*
Yes
No
License Number
Licensing and Certification
State of Issue
5. Criminal History
*
Yes
No
Have you ever been convicted of a crime?
If Yes, Please Explain
Criminal History
Date(s) of conviction(s)
Criminal History
Charges
6. Skills and Qualifications
*
Please list any other relevant skills, certifications, or qualifications for this position:
7. Availability
*
Dayshift
Nightshift
Weekends
Holidays
What shifts are you available to work? (Please check all that apply)
8. References
*
Please provide one professional reference (not relatives).
Relationship
*
Phone Number
*
9. Applicant’s Certification and Signature
*
Date
*
By signing below, I certify that the information provided in this application is accurate and complete to the best of my knowledge. I understand that any false statements or omissions may disqualify me from employment or result in my dismissal if hired. I also authorize the company to conduct background checks as necessary for this position.
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