Pexis Security Guard Job Application

Pexis Security Guard Job Application
Contact Information
Date

MonthDayYear
Name

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number

General
Are you currently employed?
May we contact your current employer?
Have you ever applied for a position with Pexis before?
If hired, can you provide evidence of your eligibility to work in the United States?
Date you can start work:

MonthDayYear

Education and Training
High School
Address (if known)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
College
Address (if known)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Major/Degree
Other
Address (if known)

Street Address

Street Address Line 2

CityState / Province

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

Other
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.
If a yes answer, please give the dates, location, charges, and disposition:
Are you a veteran?
Branch
Start of Active Service

MonthDayYear
End of Active Service

MonthDayYear
Rank at Discharge
You may upload your DD214 here:

Upload a File

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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:

MonthDayYear
To:

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Immediate Supervisor Name:
Position/Duties/Title:
Reason for leaving:
Employer:
From:

MonthDayYear
To:

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Immediate Supervisor:
Position/Duties/Title:
Reason for leaving
Employer:
From:

MonthDayYear
To:

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Immediate Supervisor
Position/Duties/Title:
Reason for leaving:
Employer:
From:

MonthDayYear
To:

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Immediate Supervisor
Position/Duties/Title:
Reason for leaving:

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?

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 NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Relationship
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Relationship
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Relationship

Resume/Cover Letter
Upload your Resume (.pdf, .docx, rich text formats)

Upload a File

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Upload your Cover Letter (.pdf, .docx, rich text formats)

Upload a File

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Contact Information