Safety and Security Solutions DBA PLE Group

Employment Application

"*" indicates required fields

Jobs (select all that apply)*

Unarmed Security

Armed Security

SECTION 1: PERSONAL BACKGROUND AND INFORMATION

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Application Start Date*

Full Name*

Your Email Address*

Home Phone*

Mobile Phone*

Alternate Phone

Social Security Number (ONLY THE FIRST FIVE DIGITS)*

Current Primary Address*

Sex*

Male

Female

Are you a U.S. Citizen*

Yes

Birthplace (Include country, city and state)*

List other states you have lived in during the last 10 years.

Driver's LIcense Number*

State of Issue*

Expiration Date*

Nearest Airport

Emergency Contact*

First Last

Relationship*

Phone*

SECTION 2: LAW ENFORCEMENT EXPERIENCE

Department where employed

Employment Start Date

Employment End Date

Department where employed

Employment End Date

Employment Start Date

SECTION 3: LICENSING

LIST STATE SECURITY GUARD LICENSES YOU POSSES.

State

Number

Expiration Date

Type

Armed

Unarmed

State

Number

Expiration Date

Type

Armed

Unarmed

State

Number

Expiration Date

Type

Armed

Unarmed

SECTION 4: MILITARY

Branch of Service*

In which branch of the service did you serve?

Date Entered

Date Exited

MOS (Military Occupational Specialty)

Highest Rank

Honorable Discharge

Yes

SECTION 5: CRIMINAL/CIVIL RECORD

Have you ever been convicted of a felony offense?*

Yes

What were you convicted of?

If you have been convicted, give complete details to include conviction date, court of jurisdiction and case disposition

Please be as detailed as possible.

Are you now, or have you ever been, a defendant in a civil proceeding?*

Yes

If yes, please explain

SECTION 6: WORK HISTORY

Please enter your most current employment and upload a resume containing at least the last seven years of employment.

Most Recent Employer*

Start Date*

End Date

Position Worked*

Reason For Leaving*

Reference Name

Reference Phone Number

May we contact your current employer?*

Yes

Previous Employer 1

Start Date

End Date

Position Worked

Reason For Leaving

Reference Name

Reference Phone Number

Previous Employer 2

Start Date

End Date

Position Worked

Reason For Leaving

Reference Name

Reference Phone Number

Previous Employer 3

Start Date

End Date

Position Worked

Reason For Leaving

Reference Name

Reference Phone Number

Upload Resume

Your resume should show at least the last seven years of employment. Please include references as well.

Accepted file types: pdf, doc, docx, Max. file size: 2 MB.

SECTION 7: EDUCATION

Education Completed (check all that apply)

High School Diploma

GED

Trade School

College or University

Other

Tech School Name

Tech School Degree or Diploma

University / College Name

University / College Degree or Diploma

Other education that may apply

SECTION 8: GENERAL INFORMATION

Are you willing to work overtime?*

Yes

Are you willing to travel?*

Yes

Are you willing to relocate?*

Yes

Are you physically able to stand/walk twelve hour shifts?*

Yes

Additional Comments

SECTION 9: UNIFORM INFORMATION

Shirt Size*

Coat Size*

Additional Comments

SECTION 10: PROFESSIONAL REFERENCES

Name (Reference 1)

Employer

Phone

Name (Reference 2)

Employer

Phone

Name (Reference 3)

Employer

Phone

Consent For Background Check*

I agree to a background check and understand the terms below.

Fair Credit Reporting Act (FCRA) Disclosure and Authorization for Investigative

Background Check

In connection with your application for employment, Safety & Security Solutions dba PLE Group may obtain a consumer report and/or investigative consumer report for employment purposes. These reports may include information regarding your character, general reputation, personal characteristics, and mode of living. This information may be obtained through interviews with individuals such as employers, supervisors, coworkers, neighbors, and others who may have relevant knowledge.

Your Rights Under Federal and State Laws

The Fair Credit Reporting Act (FCRA) provides you with certain rights when a consumer report or investigative consumer report is obtained for employment purposes. These include:

• The right to be notified if adverse action is taken based on information contained in the report.
• The right to request and obtain a free copy of the report from the consumer reporting agency if adverse action is taken.
• The right to dispute incomplete or inaccurate information with the consumer reporting agency.

Some states also provide additional rights:

• California: Applicants are entitled to a free copy of any investigative consumer report.
• New York: Applicants have the right to request whether a consumer report has been obtained and inspect the report upon request.
• Other States: Applicants may have additional rights under their state laws. You are encouraged to consult applicable laws in your state for clarification.

For more information about your federal rights, visit the Consumer Financial Protection Bureau (CFPB) website.

Authorization

By acknowledging this disclosure and submitting your application, I authorize Safety and Security Solutions dba PLE Group to obtain a consumer report and/or investigative consumer report about me for employment purposes. I understand that this authorization shall remain in effect throughout my employment unless revoked in writing. I acknowledge that I have received a copy of this disclosure and authorization form. To request a copy of your consumer report, if one was obtained, email your request to [email protected]..

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Application Submission Date*

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User IP

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HTTP Referer URL*