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 NameLast Name
Birth Date*

MonthDayYear
Social Security #
Date Available To Start

MonthDayYear
Phone Number:*

Area CodePhone Number
E-mail Address:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you applying for a specific site location? If so, list the site name
Do you have any physical limitations that would prevent you from standing, walking, lifting, or stooping for a 8 to 10 hour work shift?

YesNo
Do you have any previous Security Experience?*

YesNo
Do you possess a Class D Security License ?*

YesNo
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 3pm2nd shift: 2pm to 10pm or 3pm to 11pm3rd shift: 10pm to 6am or 11pm to 7amMorning Shift half day: 6am to 6pmEvening Shift half day: 6pm to 6am
Have you ever served in the military?*

YesNo
Have you ever been convicted of any crime?*

YesNo
If Yes, Explain:
Upload Resume (if applicable):
Please upload high school diploma, transcripts, drivers license, social security card, passport, and/or birth certificate

Browse Files

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Emergency Contact:*

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

Area CodePhone 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 NameLast Name
Supervisor Phone Number

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

First NameLast Name
Supervisor Phone Number

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

First NameLast Name
Supervisor Phone Number

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

First NameLast Name
Supervisor Phone Number

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

First NameLast Name
Supervisor Phone Number

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

First NameLast Name
Supervisor Phone Number

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

Fidelity Security Agency, LLC Employment Application