HTM Inc. Employment Application-securityspecialty

HTM Inc. Employment Application

Please enter all information requested. Any false information will be considered cause for rejection or dismissal. Employment is subject to the applicant satisfying HTM, Inc.'s requirements and personal background screening.

First Name

Last Name

Aliases, maiden, or other names used

Phone Number

Current Address

What position(s) are you applying for?

Security Guard

Patrol Guard

Dispatcher

Other

Have you ever been employed by HTM, Inc. before?

Yes

Have you ever been employed by any security guard company, investigative agency, or law enforcement agency?

Yes

If you answered YES above, what company and in what capacity?

Have you been told the essential functions of the position you are applying for?

Yes

Can you perform these essential functions without reasonable accommodations?

Yes

Highest level of Education

Name of most recent Employer and your Supervisor's name and title

Employer's Contact Phone number

Employment Start Date

Employment End Date

Your position with this employer and your reason for leaving

May we contact this employer?

Yes

Reference #1 (person we can contact, not related to you or a previous employer)

Reference #2 (person we can contact, not related to you or a previous employer)

Reference #3 (person we can contact, not related to you or a previous employer)

Additional Employment information (optional)

Previous addresses (up to 3 additional addresses)

Any additional information you'ld like to provide us while considering your application?

I am over 18 years old

I certify that the facts set forth in this application are true and complete to the best of my knowledge

I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal.

I authorize HTM Inc. to make an investigation of any of the facts set forth in this Application for Employment.

I understand that HTM, Inc. may give me a conditional job offer, following which I may be required to furnish information regarding medical condition and history and any information regarding any pre-existing permanent physical impairment.

I further understand that once given a conditional job offer, I may be required to submit to pre-employment testing for the illegal use of drugs.

Your Signature