Employment Application Form

Fidelity Security Agency, LLC Employment Application

Fill the form below accurately indicating your potentials and suitability to job applying for.
Name: *

First Name Last Name
Birth Date *

Month Day Year
Social Security #
Date Available To Start

Month Day Year
Phone Number: *

Area Code Phone Number
E-mail Address: *

Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Do you have any previous Security Experience? *

Yes No
Do you possess a Class D Security License ? *

Yes No
License # *
Are you seeking Full Time or Part Time ? *
Please select all shifts you are available to work *

1st shift: 6am to 2pm or 7am to 3pm 2nd shift: 2pm to 10pm or 3pm to 11pm 3rd shift: 10pm to 6am or 11pm to 7am Morning Shift half day: 6am to 6pm Evening Shift half day: 6pm to 6am
Have you ever served in the military? *

Yes No
Have you ever been convicted of any crime? *

Yes No
If Yes, Explain:
Upload Resume:
Emergency Contact: *

First Name Last Name
Relationship to Contact *
Emergency Contact Phone Number: *

Area Code Phone Number
Job Skills & Training
Describe your skills:
Training or Certifications:
Work History

Please provide 7 year work history. All periods must be accounted for. If you were unemployed or not working for whatever reason, please list on the form the appropriate time period and explain the circumstances. If you run out of space to add employment history, please send an email to info@fsa-security.com to include the remaining jobs.
Employment History
Company Name
Supervisor Name

First Name Last Name
Supervisor Phone Number

Area Code Phone Number
Supervisor Email Address
Job Title
Dates of Employment
Starting Salary
Ending Salary
Reason for Leaving
Employment History
Company Name
Supervisor Name

First Name Last Name
Supervisor Phone Number

Area Code Phone Number
Supervisor Email Address
Job Title
Dates of Employment
Starting Salary
Ending Salary
Reason for Leaving
Employment History
Company Name
Supervisor Name

First Name Last Name
Supervisor Phone Number

Area Code Phone Number
Supervisor Email Address
Job Title
Dates of Employment
Starting Salary
Ending Salary
Reason for Leaving
Employment History
Company Name
Supervisor Name

First Name Last Name
Supervisor Phone Number

Area Code Phone Number
Supervisor Email Address
Job Title
Dates of Employment
Starting Salary
Ending Salary
Reason for Leaving
Employment History
Company Name
Supervisor Name

First Name Last Name
Supervisor Phone Number

Area Code Phone Number
Job Title
Dates of Employment
Starting Salary
Ending Salary
Reason for Leaving
Employment History
Company Name
Supervisor Name

First Name Last Name
Supervisor Phone Number

Area Code Phone Number
Supervisor Email Address
Job Title
Dates of Employment
Starting Salary
Ending Salary
Reason for Leaving
Should be Empty:

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Fidelity Security Agency, LLC Employment Application