PRE-EMPLOYMENT QUESTIONNAIRE EQUAL OPPORTUNITY EMPLOYER

Name(Required)

First Last

SSN(Required)

Email(Required)

Present Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you 18 years or older?(Required)

Yes

Phone(Required)

Desired Employment

Desired Position(Required)

Date you can start(Required)

Salary Desired(Required)

Are you employed now? If so, where?(Required)

If the answer is yes, may we inquire your present employer?

Yes

Background

Have you been convicted of a felony in the last 5 years?(Required)

Yes

If yes, please explain.(Required)

(Will not necessarily exclude you from consideration.)

Authorization

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal of otherwise and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by and authorized company representative."

By checking the box below you agree to the statement above.(Required)

I agree

Application

PRE-EMPLOYMENT QUESTIONNAIRE EQUAL OPPORTUNITY EMPLOYER

Desired Employment

Background

Authorization

CONTACT INFO

SECURITY SERVICES

TLG SECURITY