Have you successfully completed high school or have an accredited GED with certificate of completion?
*
Illinois Resident's Only: Do you have a valid Permanent Employee Registration Card (PERC)?
*
Have you successfully completed state approved training courses for the state you are applying for?
*
Are you over the age of 21?
*
If under 21, please list age:
FIREARM OWNER'S IDENTIFICATION CARD (FOID) Expires On
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Primary Contact Number
*
(###)
###
####
Other Phone
(###)
###
####
Best Way to Reach You?
Email
*
Date of Birth
MM
DD
YYYY
Drivers Lic/State ID Number
*
Drivers Lic/State ID Expiration Date
*
Permanent Employee Registration Card (PERC) Number
Permanent Employee Registration Card (PERC) Expires On
FIREARM OWNER'S IDENTIFICATION CARD (FOID) Number
FIREARM OWNER'S IDENTIFICATION CARD (FOID) Expires On
Have you ever been employed by Universal Security in the past?
*
If Yes, enter Year of Employment
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States.
*
Have you ever been convicted of, or entered a plea of guilty, no contest, or had a withheld judgment to a felony?
*
If Yes, please explain:
High School
*
Location (mailing address)
Year Completed
Diploma/GED
College or Business/Trade School
Location (mailing address)
Year Completed
Diploma/GED
20 HOUR UNARMED SECURITY TRAINING COURSE
*
School Address
Date You Completed the Course
*
MM
DD
YYYY
Please tell us about any other security training you’ve received:
Have you ever served in the Armed Forces?
*
Are you currently sworn into the Illinois Peace Corp?
*
Are you an ACTIVE Police Officer?
*
1st Shift
*
2nd Shift
*
3rd Shift
*
How many hours can you work weekly?
*
Date available to begin:
*
MM
DD
YYYY
Do you have reliable transportation to get to work?
*
Yes
No
Type of Transportation?
In case of an emergency, who should we contact?
*
First Name
Last Name
Emergency Contact Phone
*
(###)
###
####
Are you currently employed?
*
Yes
No
If you are hired by Universal Security, do you need to give your current employer two-weeks notice?
*
Yes
No
Company
*
Job Title
*
Name of last supervisor:
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone Number
*
(###)
###
####
Start Date
*
MM
DD
YYYY
End Date
*
MM
DD
YYYY
Hrs/Week:
*
Starting Rate:
*
Ending Rate:
*
Reason for leaving (be specific):
*
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
*
May We Contact this Employer?
*
Yes
No
Company
Job Title
Name of Last Supervisor
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Hrs/Week:
Starting Rate
Ending Rate
Reason for leaving (be specific):
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
May we contact this employer?
Yes
No
Company
Job Title
Name of last supervisor
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Hrs/Week
Starting Rate
Ending Rate
Reason for leaving (be specific):
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
May we contact this employer?
Yes
No
Company
Job Title
Name of Last Supervisor
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Hrs/Week
Starting Rate
Ending Rate
Reason for leaving (be specific):
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
May we contact this employer?
Yes
No
Company
Job Title
Name of last supervisor
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Hrs/Week
Starting Rate
Ending Rate
Reason for leaving (be specific):
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
May we contact this employer?
Yes
No
I certify that all answers and statements on this application are true and complete to the best of my knowledge. I understand that, should this application contain any false or misleading information, my application may be rejected or my employment with this company terminated.
*
First Name
Last Name
Today's Date
*
MM
DD
YYYY
