HPS
Y
N
Admiral
Resume
Cover Letter
Application Date
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2016
First Name *
Last Name *
Middle Initial
Present Address
Apt #
City
State
Alabama: AL
Alaska: AK
Arizona: AZ
Arkansas: AR
California: CA
Colorado: CO
Connecticut: CT
Delaware: DE
Florida: FL
Georgia: GA
Hawaii: HI
Idaho: ID
Illinois: IL
Indiana: IN
Iowa: IA
Kansas: KS
Kentucky: KY
Louisiana: LA
Maine: ME
Maryland: MD
Massachusetts: MA
Michigan: MI
Minnesota: MN
Mississippi: MS
Missouri: MO
Montana: MT
Nebraska: NE
Nevada: NV
New Hampshire: NH
New Jersey: NJ
New Mexico: NM
New York: NY
North Carolina: NC
North Dakota: ND
Ohio: OH
Oklahoma: OK
Oregon: OR
Pennsylvania: PA
Rhode Island: RI
South Carolina: SC
South Dakota: SD
Tennessee: TN
Texas: TX
Utah: UT
Vermont: VT
Virginia: VA
Washington: WA
West Virginia: WV
Wisconsin: WI
Wyoming: WY
Zip Code
How long at present address?
Less than 1yr
1yr
2yrs
3yrs
4yrs
5yrs
6yrs
7yrs
8yrs
9yrs
Greater than 10 years
Email *
Primary Phone *
Primary Phone Type
Cell
Home
Alternate Phone
Last 4 SS#
Are you at least 18 years of age?
Yes
No
Position applying for:
Operations Manager - Mobile
Field Supervisor - Mobile
Badge Checker
Unarmed Security
Armed Security
If other, please specify:
Availability
1st Shift Availability (7am-3pm) *
Preferred
OK With
Not Available
2nd Shift Availability (3pm-11pm) *
Preferred
OK With
Not Available
3rd Shift Availability (11pm-7am) *
Preferred
OK With
Not Available
Days you are available to work: *
Are you willing to work: *
When are you able to start?
Jan
Feb
Mar
Apr
May
Jun
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Aug
Sep
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2014 2015 2016
Will you participate in a mandatory drug screen, criminal background, and driving record checks? *
Yes
No
Have you ever been convicted of a felony? *
Yes
No
If Yes, please explain
Do you have a valid U.S. driver’s license? *
Yes
No
Does your driving record contain any of the following?
Do you have a valid TWIC card?
Do you have a valid Louisiana State Board of Private Security Examiners license?
Do you have a valid New Orleans Special Officer Commission?
Do you own a firearm?
If yes, what caliber?
Are you able to add, subtract, multiply, and divide proficiently?
Yes
No
Previous Address
Previous Apt #
Previous City
Previous State
Alabama: AL
Alaska: AK
Arizona: AZ
Arkansas: AR
California: CA
Colorado: CO
Connecticut: CT
Delaware: DE
Florida: FL
Georgia: GA
Hawaii: HI
Idaho: ID
Illinois: IL
Indiana: IN
Iowa: IA
Kansas: KS
Kentucky: KY
Louisiana: LA
Maine: ME
Maryland: MD
Massachusetts: MA
Michigan: MI
Minnesota: MN
Mississippi: MS
Missouri: MO
Montana: MT
Nebraska: NE
Nevada: NV
New Hampshire: NH
New Jersey: NJ
New Mexico: NM
New York: NY
North Carolina: NC
North Dakota: ND
Ohio: OH
Oklahoma: OK
Oregon: OR
Pennsylvania: PA
Rhode Island: RI
South Carolina: SC
South Dakota: SD
Tennessee: TN
Texas: TX
Utah: UT
Vermont: VT
Virginia: VA
Washington: WA
West Virginia: WV
Wisconsin: WI
Wyoming: WY
Previous Zip
How long at previous address
Less than 1yr
1yr
2yrs
3yrs
4yrs
5yrs
6yrs
7yrs
8yrs
9yrs
Greater than 10 year
Describe your qualification for the position you are seeking
Skills: (Please include any software packages in which you are proficient)
How were you referred?
If Employee, please specify
If Other, please specify
Name High School or GED
Completed Type
High School Diploma
GED
Attending HS
Attending GED
None
Completed Year
Name College
Dates Attended
Degree Status
Graduated - Bachelors
Graduated - Associates
Some College
Presently Attending
Type of Degree
Type of Grad Degree
Name Military
In Military From - To
Completed Military Service
Yes
No
Attending
Service Rank and Standing
Most Recent Employer *
Most Recent Position *
Employed Starting *
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Employed Until
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2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Most Recent Staring Salary *
Most Recent Employer Ending Salary
Most Recent Employer Name of Supervisor *
Most Recent Employer Address *
Most Recent Employer Telephone *
Most Recent Employer Reason for Leaving
Previous Employer
Previous Position
Employed From
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Employed To
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2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Previous Employer Staring Salary
Previous Employer Ending Salary
Previous Employer Name of Supervisor
Previous Employer Address
Previous Employer Telephone
Previous Employer Reason for Leaving
Additional Employer (1)
(1) Position
(1) From - To
(1) Staring Salary
(1) Ending Salary
(1) Name of Supervisor
(1) Address
(1) Telephone
(1) Reason for Leaving
Additional Employer (2)
(2) Position
(2) From - To
(2) Staring Salary
(2) Ending Salary
(2) Name of Supervisor
(2) Address
(2) Telephone
(2) Reason for Leaving
PLEASE READ CAREFULLY BEFORE SUBMITTING
I certify that the answers I have given in the application are true and accurate to the best of my knowledge and I understand that any false or misleading answers or any omissions or concealment of facts will disqualify me from consideration for employment or will be grounds for immediate discharge. In making this application for employment it is understood that an investigative report may be prepared whereby information is obtained from former employers, educational institutions which I have attended, trade-related agencies and references. I authorize my former employers, educational institutions, trade-related agencies and references to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and will release all parties from all liability for any damage that may result from furnishing same to you. I understand that if such investigations should reveal a false statement or derogatory reports, I will be disqualified from employment or subsequently dismissed. I have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation. I agree to conform to the rules and regulations of the company and if employed, I understand and agree that my employment is at will and no employment contract rights have been created. I also understand that my employment may be terminated at any time with or without cause, and with or without advance notice at the option of either the company or myself. I also understand that no supervisor, manager or other representative of the company has any authority to enter into any express or implied contract for employment for any specified period of time. Any agreement contrary to the above must be in writing and must expressly state that it is a contract and be signed by Human Resources. Furthermore, I understand that if I am hired after the 90-day probationary period, either I or Admiral Security can end the employment relationship at any time, for any reason, with or without cause or notice. I am willing to submit to a pre-employment drug screening at the company’s expense if I receive an offer of employment and if one is given that my continued employment may be contingent on the results. I also acknowledge and agree that I am subject to random drug screenings as mandated by the company’s drug-free workplace policy.
I certify and acknowledge that I have read the above and understand it. *