MAX 24 Security​ Service

Maximum Protection


Your assets are important - make sure they're protected.

LAST NAME                                                           

FIRST NAME

SOCIAL SECURITY NUMBER: YES   /   NO 

ADDRESS:


 CITY                                       STATE

ZIP CODE

PHONE NUMBER:

CELL #: (         )                                           HOME #: (        )


ARE YOU 18 YEARS OR OLDER?

YES              NO                        DOB:


E-MAIL ADDRESS:

 

REFERRED BY:

 

How did you hear about us?

DESCRIPTION:             MALE              FEMALE

HAIR

EYES

HEIGHT

WEIGHT

SHIRT SIZE

If hired, will you be able to provide proof of citizenship or your legal right to work in the United States?    YES         NO

 
Do you have a valid Driver’s License, If yes, License #:
YES                 NO

What languish do you speak?                       English                Spanish   Other

DESIRED EMPLOYMENT (if hired, please identify work schedule):  

SECURITY OFFICER/GUARD (circle)

 Monday,Tuesday, Wednesday, Thursday,  Friday, Saturday, Sunday


 DAY              EVENINING            NIGHT               ANY SHIFT


 Do you have your own vehicle or public transportation?

 If yes, please describe:

Do you have valid Guard Card?

Yes     No

If yes, Permit #::                                  Exp. date:

-valid First Aide CPR Card?

Yes     No

If yes, Permit #::                                  Exp. date:

-valid Pepper Spray Card?

Yes     No

If yes, Permit #::                                  Exp. date:

-valid Baton Card?

Yes     No

If yes, Permit #::                                  Exp. date:

-valid Fire Arm Card?

Yes     No

If yes, Permit #::                                  Exp. date:

Do you own a Firearm?

Yes     No

If yes, Make:                   Model:               Serial:

EMPLOYMENT: (LIST THE LAST TWO EMPLOYERS BEGINNING WITH THE MOST RECENT ONE)

DATES

NAME & ADDRESS OF EMPLOYER

SALARY

POSITION

REASON FOR LEAVING

FROM:TO:

FROM TO:

PLEASE PROVIDE REFERNCED: Include professional and personal references

NAME

NAME


NAME

I HEREBY AUTHORIZED MAX-24 SECURITY AND ALL OF IT’S AFFILIATES; to investigate my background, references, previous suitability for employment. I authorize my current employer to release any pertinent information concerning my work experience. I understand that the company reserves the right to require a drug test prior to acceptance of employment.

 

Signature: __________________________                                                                Date: ___________________