Thank you for your interest in our company. This application is the first contact you will have with us; please make it your best and good luck to you. SRS is an equal opportunity employer that will not discriminate against any applicant regardless of Race, Gender, Religion, Age, Disability, or Nationality. SRS offers opportunities of advancement to motivated, professional, and dedicated employees. All information you provide must be true and correct and will be subject to verification. Any information found to be false, incorrect, or any concealed information will be grounds for disqualification, if already hired, will be grounds for immediate dismissal. SRS will try to accommodate everyone's needs, but all applicants must be able to work weekends and holidays, to include different shifts and locations as needed. You will be required to be registered with the Department of Public Safety, Private Security Board and required to pay all their state fees for your licenses. Our minimum requirement of employment is a Level-3 commission or that you will attend such class on your own within 30 days of submitting this application. 1. Full Name: 2. Date: Position Applying for: PRIORITY AREA 3. Police officer: Y / N Department: Years on Department: 4. List any police experience; to include full or reserve officer, police explorer, cadet, training or academy: 5. Police training such as P.O.S.T or T.C.L.O.S.E: Y / N When: 6. Military experience/duty: Y / N Dates of service: 7. Rank at discharge: Type of discharge: 8. Combat Vet: Y / N Where: DD214 or LE credentials are required if you want military credit or priority in the hiring process. Please submit copy with this application. STANDARD AREA 9. Address: City: 10. State: Zip: Phone: 11. DOB: Social Security #: 12. Driver's license # and State: Expiration date: 13. Salary Expectation: $ /hr Citizen of the United States? Y / N 14. 18 years old or older? Y / N Type of employment: Full / Part time 15. Do you have a working phone? Y / N (LIST EXPECTED RATE) EMPLOYMENT APPLICATION 2541 South IH-35 #200 Round Rock, TX 78664 Phone: (512) 339-0540 www.texasofficer.com Texas Department of Public Safety Approved & Licensed contractor B17284 SRS Services: Application - 1 of 5
Transcript
Thank you for your interest in our company. This application is the first contact you will have with us; please make it your best and good luck to you. SRS is an equal opportunity employer that will not discriminate against any applicant regardless of Race, Gender, Religion, Age, Disability, or Nationality. SRS offers opportunities of advancement to motivated, professional, and dedicated employees. All information you provide must be true and correct and will be subject to verification. Any information found to be false, incorrect, or any concealed information will be grounds for disqualification, if already hired, will be grounds for immediate dismissal.
SRS will try to accommodate everyone's needs, but all applicants must be able to work weekends and holidays, to include different shifts and locations as needed.
You will be required to be registered with the Department of Public Safety, Private Security Board and required to pay all their state fees for your licenses. Our
minimum requirement of employment is a Level-3 commission or that you will attend such class on your own within 30 days of submitting this application.
1. Full Name: 2. Date: Position Applying for:
PRIORITY AREA
3. Police officer: Y / N Department: Years on Department: 4. List any police experience; to include full or reserve officer, police explorer, cadet, training or academy: 5. Police training such as P.O.S.T or T.C.L.O.S.E: Y / N When: 6. Military experience/duty: Y / N Dates of service: 7. Rank at discharge: Type of discharge: 8. Combat Vet: Y / N Where:
DD214 or LE credentials are required if you want military credit or priority in the hiring process. Please submit copy with this application.
STANDARD AREA
9. Address: City: 10. State: Zip: Phone: 11. DOB: Social Security #: 12. Driver's license # and State: Expiration date: 13. Salary Expectation: $ /hr Citizen of the United States? Y / N 14. 18 years old or older? Y / N Type of employment: Full / Part time 15. Do you have a working phone? Y / N
(LIST EXPECTED RATE)
EMPLOYMENT APPLICATION
2541 South IH-35 #200 Round Rock, TX 78664 Phone: (512) 339-0540 www.texasofficer.com
Texas Department of Public Safety Approved & Licensed contractor
B17284
SRS Services: Application - 1 of 5
16. Do you have a vehicle to use to get you to work? Y / N 17. Will you work weekends? Y / N 17B. Will you work holidays? Y / N 18. Will you work any shift? Y / N 18B. Maximum distance you are willing to drive to a job site: 19. Do you have any family, childcare, medical, or outside issues that might interfere with your work/ performance, to include attendance, overtime issues and working any shift or any days? Y / N Explain circumstance: 20. Have you ever been laid off, suspended, terminated, or quit to avoid termination at any job or been accused of: theft, violence, insubordination, threats or inappropriate behavior? Y / N Explain: 21. High school graduate: Y / N when: GED: Y / N when: where: 22. College Graduate: Y /N when: where: 23. Major: Type: 24. Any other education or classes you have taken which may pertain to this job (List below): 25. Will you submit to a drug test? Y / N Will you submit to a background check? Y / N 26. May we contact past employers, references, co-workers, law enforcement, credit bureau, family, friends and any other persons or organizations deemed necessary to perform a background check? Y / N 27. Previous Employment (Must go back five years, use additional sheets if necessary.) Start with most recent job and work your way back. You must explain all gaps in employment longer than one month.
DO NOT LEAVE ANY AREA BLANK & PAY RATES MUST BE BROKEN DOWN TO AN HOURLY RATE.
SRS Services: Application - 2 of 5
Dates of employment from: to:
Firm: Address:
Phone #: Supervisor:
Starting pay (Per Hour): Ending pay (Per Hour):
Reason for leaving:
Are you eligible for rehire there? Y / N
If you quit/resigned, did you provide your employer with a proper notice (1 to 2 weeks)?
Y /N explain:
SRS Services: Application - 3 of 5
Dates of employment from: to:
Firm: Address:
Phone #: Supervisor:
Starting pay (Per Hour): Ending pay (Per Hour):
Reason for leaving:
Are you eligible for rehire there? Y / N
If you quit/resigned, did you provide your employer with a proper notice (1 to 2 weeks)?
Y /N explain:
Dates of employment from: to:
Firm: Address:
Phone #: Supervisor:
Starting pay (Per Hour): Ending pay (Per Hour):
Reason for leaving:
Are you eligible for rehire there? Y / N
If you quit/resigned, did you provide your employer with a proper notice (1 to 2 weeks)?
Y /N explain:
PERSONAL REFERENCES (NON-EMPLOYERS)
Contact Name: Relationship:
Address: Telephone:
Contact Name: Relationship:
Address: Telephone:
Contact Name: Relationship:
Address: Telephone:
28. How many verifiable years experience in the security field do you have, NOT counting military or corrections, only the
private security industry?
29. How many years, if any, have you been licensed with Texas TCPS or now DPS, Private Security Bureau?
30. List all licenses and permits you currently hold in Texas as a security officer (firearm/mace-pepper spray/baton/PPO/
Private investigator/instructor, etc): Note: Concealed weapons permit is not a security license, please do not list it.
31. Have you ever had any security license/permit, driver's license or concealed weapon permit suspended, revoked, or
denied ? Y / N Explain:
32. Have you or any relative ever owned, was a qualified manager, or partner of any security guard, patrol, or
investigations company? Y / N
If yes, name of company and current status of company and your standing with them:
33. List any special training you may have, to include weapons that pertain to this job (private security) and any martial
arts training. Military training and/or qualifications will be on your DD214, please do not list in this section.
34. Have you ever been arrested, booked, detained, charged with any crime or entered a plea of "no contest" to any crime
in the United States? Y / N *Does not matter if charges were dropped or deferred.
Also, are you now or have you ever been on probation or parole? Y / N Explain any charges or issues:
35. List any traffic tickets/convictions and/or accidents you have had within the last 5 years.
36. Within the last year, have you used illegal drugs? Y / N Explain:
37. Do you have any existing contracts or agreements with any prior or current employer, to include non-disclosure or
confidentiality agreement? Y / N Explain:
SRS Services: Application - 4 of 5
38. Would you have any problem working at high-risk accounts such as housing complexes, special events, bars, or high crime areas? If so, explain below: 39. Have you ever been fired or asked to resign any job? Y / N Explain: 40. Working as a security officer, has any client asked to have you removed from the account; if so, why? 41. List any problems you have ever had with any supervisor, manager, or co-worker at any job: 42. This job may require you to stand for long periods of time or sit in vehicles for long periods of time. You may have to
make foot patrols around large properties, climb stairs, work outdoors in exposed weather and indoors for long periods of time. You will be required to wear uniforms and equipment. You may be required to physically restrain a suspect. You will be required to work overtime and attend training. You will be required to have full range of motion in all limbs and not have vision or hearing loss which would interfere in your safety or detection of hazards and persons. You will also be required to have basic, good written and verbal skills to communicate. You will have to take a drug test prior to employment and submit to random testing during your employment. You will also be required to sign company policies and waivers to work here. Notice to all applicants: we will need to make copies of all your security permits/licenses, to include a copy of your driver's license, social security card and military DD214 upon hiring. You may submit copies of any classes you have taken (college degrees and resumes). All paperwork, to include applications and copies of your I.D. and anything else turned in, will remain property of SRS Services, as we must keep your file stored for any inspection done by DPS, Private Security Bureau and remain for up to two years. We will also have a set of fingerprints on file along with a current photo. Notice to all applicants: if you have ever been convicted of a Class A misdemeanor or Felony, we cannot license you in the state of Texas to do any type of security work which requires a license from DPS-Private Security Bureau. Some waivers or time limits may apply to certain misdemeanors; please view DPS-PSB's website for further information.
43. I am aware that SRS will conduct a background check on me, to include a drug screen; any false information or testing positive for an illegal drug will disqualify me from employment. If for any reason I am hired prior to the background check being completed, I acknowledge that I will be terminated once it is found I was untruthful or have results or findings deemed unsatisfactory. I further acknowledge it is my responsibility (while waiting to be hired or even after employed) to inform SRS management of any changes in my status as far as new arrests, tickets, drug issues, changes in license status, change of phone number, address, etc.
I, (Print Name) certify that all information was answered truthfully, and that I have disclosed all information asked of me completely and honestly to the best of my knowledge and ability.
