First Name      Last Name  

Address      City/State/Zip  

Home Phone      Cell Phone  

Other Phone  

Are you at least eighteen (18) years of age?   Please select... yes no

Do you have the legal right to work in the United States?   Please select... yes no

What position(s) are you applying for?  

First date available for work?  

Have you ever been convicted of a criminal offense?   Please select... yes no

If yes, please elaborate:  

Do you hold a current, valid security license (Guard Card)?   Please select... yes no

If yes:
Registration Number      Expiration Date      State  

Do you hold a valid permit for any of the following (please check all that pertain)?
Gun
Baton
Mace
Handcuffs
Not Applicable

Juridiction of Issuance      Type of Permit  

Gun(s) listed on permit (all makes/models/serial numbers)  

I hereby authorize Sovereign Security, LLC to request information from the following references. Furthermore, I release the below named references from any and all responsibility in supplying reference information.

Signature of Applicant (please type your full name)  

Please provide us with all employment experiences for the last ten years, starting with your most recent employer. If necessary, use an additional page. This information will be used in reference checks for further consideration. Failure to answer all items in section and/or complete section may result in elimination from employment consideration.

Company      Supervisor      Phone  

Address  

Position      Dates Employed      Wage  

Employment Status   Please select... Full-time Part-time     Reason for Leaving  

May we contact for reference?   Please select... yes no


Company     Supervisor     Phone

Address

Position     Dates Employed     Wage

Employment Status   Please select... Full-time Part-time     Reason for Leaving  

May we contact for reference?   Please select... yes no

High School/GED Equivalency
   Name and Location      Start/End Dates  
   Course of Study      Degree/Highest Level Completed  

Technical/Vocational
   Name and Location      Start/End Dates  
   Course of Study      Degree/Highest Level Completed  

College
   Name and Location      Start/End Dates  
   Course of Study      Degree/Highest Level Completed  

Graduate School
   Name and Location      Start/End Dates  
   Course of Study      Degree/Highest Level Completed  

To determine qualifications for employment and/or as contingencies for employment offers Sovereign Security LLC requires the submitting to / passing various checks / tests. Please indicate if you have any objections to the following being administered by and / or completed by Sovereign Security LLC and / or by a company approved vendor.

Do you object to drug testing, whether scheduled or random?   Please select... yes no
Do you object to business/professional reference checks?   Please select... yes no
Do you object to education related reference checks?   Please select... yes no
Do you object to criminal background checks?   Please select... yes no
Do you object to credit checks?   Please select... yes no
Do you object to driving record checks?   Please select... yes no
Do you object to psychological testing?   Please select... yes no
Do you object to a medical examination?   Please select... yes no

I affirm that all information provided on this application is true and accurate. I understand that any false or misleading information and/or omissions may result in rejection of my application, or if an employee, in termination of employment. I will provide documentation that I am authorized to work in the United States when hired by Sovereign Security LLC. I understand that Sovereign Security LLC reserves the right to change the shifts, days, and locations of job assignment at its direction. In consideration of my employment, I agree to confirm to the rules and regulations of Sovereign Security LLC. I understand and agree that my employment and compensation can be terminated, with or without cause and with our without notice, at any time, at the option of either Sovereign Security LLC or myself. I may be terminated at any time and Sovereign Security LLC will only be responsible for wages up to my termination. Failure to keep Sovereign Security LLC informed of my changing availability will result in being considered unavailable for further employment opportunities.

Applicant’s Signature      Date