Employment Application

Employment Application
Last Name*
FirstName*
Middle Initial
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Cell Phone
Email*
Social Security Number*
Position Applying For:*
Desired Salary
Date available to begin employment*
MM slash DD slash YYYY
Do you have reliable personal transportation?*
Do you have reliable working cell phone?*
Are you available to work at night and on the weekends?*
Have you ever been arrested for any offense?*
If yes, please provide the dates of arrest, the charges, and the disposition of the case:
Are you a United States Citizen?*
If no, are you authorized to work in the United States?*
Do you have a permanent resident alien card, a resident alien card, or a work visa?*
Have you or a family member ever worked for this company?*
If yes, when?
Have you ever served in the military?
If yes, for which branch?
If other than an Honorable Discharge please explain:
Education
High School*
From*
Until*
Did you graduate?*
College
From
Until
Did you graduate?
Trade School
Trade School
From
Until
Did you graduate?
Training
Do you have a Level II certificate?*
Training Academy
Do you currently have a Level II certificate on file with D.P.S.?*

Do you have a current Level III certificate?*
Training Academy
Do you currently have a Level III certificate on file with D.P.S.?*
Date card expires?
MM slash DD slash YYYY
Date card was issued?
MM slash DD slash YYYY
Do you have a current Level IV certificate?*
Training Academy
Do you currently have a Level IV certificate on file with D.P.S.?*
Date card was issued?
MM slash DD slash YYYY
Date card expires?
MM slash DD slash YYYY
Do you have a Concealed Handgun License?*
Date card was issued?
MM slash DD slash YYYY
Date card expires?
MM slash DD slash YYYY
Do you have a current OC certification?*
Training Academy
Date card was issued?
MM slash DD slash YYYY
Date card expires?
MM slash DD slash YYYY
Do you have a current baton certification?*
Training Academy
Date card was issued?
MM slash DD slash YYYY
Date card expires?
MM slash DD slash YYYY
Do you have a current handcuffing certification?*
Training Academy
Date card was issued?
MM slash DD slash YYYY
Date card expires?
MM slash DD slash YYYY
Please list all other training that may pertain to the security industry:
Previous Employment
Company Name*
Phone*
Fax
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor*
First Last
Employment From*
MM slash DD slash YYYY
Until*
MM slash DD slash YYYY
Starting Salary*
Ending Salary*
Job Title*
Responsibilities*

Reason for terminating employment*
May we contact you previous employer for a reference?*
If not, Why?
Company Name
Phone
Fax
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor
First Last
Employment From
MM slash DD slash YYYY
Until
MM slash DD slash YYYY
Starting Salary
Ending Salary
Job Title
Responsibilities
Reason for terminating employment
May we contact you previous employer for a reference?*
If not, Why?
Company Name
Phone
Fax
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor
First Last
Employment From
MM slash DD slash YYYY
Until
MM slash DD slash YYYY
Starting Salary
Ending Salary
Job Title
Responsibilities
Reason for terminating employment
May we contact you previous employer for a reference?*
If not, Why?
Certify*
I certify that I have completed this application to the best of my ability. I certify that my answers are true and complete to the best of my knowledge. I certify that if my application leads to my employment with Central Texas Protective Services, Inc., I am aware that providing false or misleading information can and will result in my immediate termination with said company.
Upload Resume
Max. file size: 512 MB.
If you have a resume, you may upload it here.
Digital Signature
First Last
Name
This field is for validation purposes and should be left unchanged.

Education