CAREERS CAREERS Pre-Employment Questionnaire (An Equal Opportunity Employer) CONTACT INFORMATIONDate* MM slash DD slash YYYY Last Name* Name* Middle* ADDRESSStreet* City* State* Zip* Email PhoneDESIRED POSITIONAre you prevented from lawfully becoming employed in this country because of a visa or immigration status?*SelectYesNoDESIRED POSITION*DESIRED POSITIONArmed Safe School Officer / GuardianArmed GuardUnarmed GuardFL D LICENSE FL G LICENSE Are you employed now?*SelectYesNoIf so, may we contact your present employer?*SelectYesNoEver applied to this company before?*SelectYesNoWhere?* When?* Referred by* EDUCATIONEducationName and location of schoolYears attendedDid you graduateSubjects studied CRIMINAL HISTORY:Have you ever been convicted of a crime?SelectYesNoMILITARY SERVICE:Country: Branch: Rank: National guard or reserves: EXCLUDE ORGANIZATIONS, THE NAME OF WHICH INDICATES THE RACE, CREED, SEX, AGE, MARITAL STATUS, COLOR OR NATION OF ORIGIN OF ITS MEMBERS.Special Skills: Activities: (Civic, athletic, etc.) FORMER EMPLOYERS (LIST YOUR LAST THREE EMPLOYERS, STARTING WITH LAST ONE FIRST).FORMER EMPLOYERSMonth & YearName and Address of employerSalaryPositionReason for leaving REFERENCES (NAMES OF THREE INDIVIDUALS [NOT RELATED TO YOU] WHOM YOU HAVE KNOWN AT LEAST ONE YEAR).REFERENCESNAMEPHONEE-MAILYEARS ACQUAINTED In case of emergency notify:Name: Relationship: Phone:I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, and compensation, can be terminated, with or without cause. And with notice at any time, at either my or the company’s option. Also I understand and agree that the terms and condition of my employment may be changed, with or without cause, and with or without notice at any time by the company. I understand that no company representative, other than its president, and then only when in wrong and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, Or to make any agreement contrary to the foregoing. Signature: Name: