Pexis Security Guard Job Application

Pexis Security Guard Job Application
Contact Information
Date *

- Month - Day Year
Name *

First Name Last Name
Do you have a California Guard Card? (If no, you will not be eligible for this position.) *

Yes No
California Guard Registration Number:
Unfortunately, a valid California Guard Registration ("Guard Card") is required for this position. Please feel free to re-apply once you have obtained this certification.
California Driver License or ID Number *
E-mail *

Address *

General
Are you currently employed? *

Yes No
May we contact your current employer? *

Yes No
Have you ever applied for a position with Pexis before? *

Yes No
If hired, can you provide evidence of your eligibility to work in the United States? *

Yes No
Date you can start work: *

- Month - Day Year

Do you have any of the following licenses or certifications (check all that apply)

CPR First Aid OC Permit Baton Permit Exposed Carry Firearms Permit CCW Other option
Do you have any other special skills, training, or certifications you would like us to know about?
Do you speak any other languages? (Indicate the language and skill level)

Background
Have you, in the past seven years, been convicted of a felony or misdemeanor (exclude minor traffic violations and other infractions)? Please note that a conviction will not necessarily disqualify you from employement. *

Yes No
If a yes answer, please give the dates, location, charges, and disposition:
Are you a veteran?

Yes No
Branch
Start of Active Service

- Month - Day Year
End of Active Service

- Month - Day Year
Rank at Discharge
You may upload your DD214 here:
Are you a member of the National Guard or Reserves? If so, please indicate which branch and your current rank:

Employment History

Please provide information on all employers for the past 10 years. Start with your most recent job.
Employer: *
From: *

- Month - Day Year
To:

- Month - Day Year

Availability

What days are you available to work? Please indicate the hours for each day. For anytime, please leave blank. If not available please put N/A.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Do you have reliable transportation? *

Yes No

Additional Information

Use this field to complete any missing information from previous sections and/or to provide information about yourself that you feel could aid us in the decision making process.

References

List three persons who are willing to provide professional references. Do not list relatives, friends, or former employers.
Name

First Name Last Name

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Contact Information