Hampton Roads, Virginia Employment Form

Name(Required)

First Middle Last

Email(Required)

Area Code(Required)

Phone(Required)

Address(Required)

Unit or Apartment (if applicable)

City(Required)

State/Province(Required)

Postal/Zip Code

Date of Birth(Required)

MM slash DD slash YYYY

Employment Desired(Required)

Salary Desired P/Hour(Required)

Type of Employment(Required)

Location Applied for(Required)

Please provide your Virginia DCJS Certification Number(Required)

Available Start Date(Required)

MM slash DD slash YYYY

Describe Your Availability (ex: Monday thru Saturday, Day Shift or Night Shift)(Required)

Do You Have Other Employment?(Required)

Yes

Please Describe(Required)

Do You Have Your OWN Telephone?(Required)

Yes

Do You Have Your OWN Transportation?(Required)

Yes

Please Describe(Required)

Do You Have Your OWN Firearm?(Required)

Yes

Please Describe(Required)

List the Duty Gear That You Own(Required)

Do You Have a Valid Driver's License?(Required)

Yes

List State and License Number(Required)

Please List the Security Firms You Have Been Employed with, Listing the Most Recent Employer First. Enter NONE If This Question Is Not Applicable to You.(Required)

Briefly Describe Your Experience and Qualifications. You Can Attach a Resume Below. Include an Explanation of Any Gaps in Employment.(Required)

Attach Resume (not required)

Max. file size: 3 MB.

Please List at Least 3 References and Contact Numbers(Required)

Are You Currently, or Have You Ever Been Prohibited From Carrying a Firearm Under ANY State or Federal Court?(Required)

Yes

Please Describe(Required)

Have You EVER Been Convicted of a Misdemeanor?(Required)

Yes

Please Describe(Required)

Are You in Any Way Currently Affiliated, Owner/Part Owner, Partner, Supervisor, or a Member of Management With Any Other Security Firm?(Required)

Yes

Please Describe(Required)

Are You Currently or Have You Ever Been a Security Company Owner and/or Compliance Agent at Any Time for Any Security Firm in Any State?(Required)

Yes

Please Describe(Required)

Can You Perform the Duties of the Position in Which You are Applying With or Without Reasonable Accommodations?(Required)

Yes

Do You Understand That You May Be Required to Stand and/or Walk for Extended Periods of Time?(Required)

Yes

Are You Willing to Submit to Background Check and Drug Testing for Hiring and/or Continued Employment?(Required)

Yes

Are You Willing to Work Overtime?(Required)

Yes

Are You Willing to Work All Shifts?(Required)

Yes

List Other Skills / Certifications (ex: CPR, OC-Spray, Baton)(Required)

Briefly Explain Why You Want to Be an Employee/Security Officer with Silbar Security and What Could Help Us in Determining You as an Employee(Required)

Do You Have Any Relatives Currently Working for Silbar Security?(Required)

Yes

Please Describe(Required)

Have You Ever Applied for Employment with Silbar Security?(Required)

Yes

When?

MM slash DD slash YYYY

Referred By

I certify that all the information submitted by me on this application is true and complete.

I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected, and, if I am employed, my employment may be terminated at any time.

In consideration of my employment, I agree to conform to the Silbar Security Corporation Rules, Regulations and Supervisor’s directions. I agree that my employment is at-will, and that my employment and compensation can be terminated, with or without cause, and with or without notice, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment with Silbar Security Corporation may be changed, with or without cause, and with or without notice, at any time by Silbar Security Corporation. I have read and understand all parts of this application. All statements written by me are complete, correct and true to the best of my knowledge. If I have misrepresented or omitted any facts on this application or any further documents I will be required to fill out, including but not limited to any Silbar Security Corp. forms I prepare in the course of my duties, shall be considered sufficient cause for dismissal.

I agree that if employed by Silbar Security Corp., I will be required to abide by all rules and procedures and that failure to do so could result in termination of employment. I further understand that the rules and regulations may be changed, modified, deleted or added to the company at any time at the company's sole option and without prior notice. DCJS Certifications are the full responsibility of the employee and must be up to date and kept up to date. Failure to keep certifications up to date will result in suspension of the employee.

In compliance with the Immigration Reform and Control Act of 1986, I understand that I am required to provide approved documentation to Silbar Security Corporation that verifies my right to work in the United States on the first day of employment. I have received from the company a list of the approved documents that are required.

The Genetic Information Nondiscrimination Act of 2008 (GINA) prohibits employers and other entities covered by GINA Title II from requesting or requiring genetic information of an individual or family member of the individual, except as specifically allowed by this law.

The Equal Employment Opportunity Policy of the Silbar Security Corporation is to provide a fair and equal employment opportunity for all employees and job applicants regardless of race, color, religion, national origin, gender, sexual orientation, age, marital status or disability. Silbar Security Corporation hires and promotes individuals solely on the basis of their qualifications for the job to be filled. Silbar Security Corporation believes that employees should be provided with a working environment which enables each employee to be productive and to work to the best of his or her ability. We do not condone or tolerate an atmosphere of intimidation or harassment based on race, color, religion, national origin, gender, sexual orientation, age, marital status or disability. We expect and require the cooperation of all employees in maintaining a discrimination and harassment-free atmosphere.

I further authorize all work related verifications of employment, education, training or other work related information, as well as credit or criminal records checking. I authorize all of this information to be provided to the company or their agent and release them from any liability which might be claimed. If required, I agree to fully participate and complete the required pre-employment drug screening.

Applications are only active for a period of thirty (30) days. After thirty (30) days, you must reapply.

Consent(Required)

I agree to the terms and conditions.(Required)

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