Employment Application Form

Gill Security Systems- Employment Application

Gill Security is a drug free environment. Random drug testing is practiced.

A pre-hire background check is preformed by Gill Security Systems, Inc.

Date of application * / MM / DD YYYY
Name * First Last
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
How long at this address? *
Phone * - (###) - ### ####
Email *
Position applying for *
Rate of pay expected *
Type of position desired * Full-time Part-time
How did you hear about this position? *
Availability
Have you ever applied at Gill Security? * Yes No
If yes, when?
When would you be available to start work? * / MM / DD YYYY
How would you rate yourself?
Energy Level: Your sense of self-motivation and enthusiasm *
Communication Skills: Your ability to listen well, express ideas *
Hospitality: Your natural friendliness and customer service skills *
Reliability: Your dependability, attendance and dedication *
Personal Pride: Your appearance, hygiene and achievement *
Team Work: Your cooperation with others and team spirit *
What achievement in life are you most proud of? *
What are your personal strengths? *
What are your five year goals? *
Do you have reliable transportation to work * Yes No
Do you have any relatives or friends currently employed at Gill Security? * Yes No
Do you have a valid drivers license? * Yes No
Do you have an DUI's/DWI's? * Yes No
Do you have automobile liability insurance? * Yes No
Employment History
Company 1- (Most recent)
Company Name *
From * / MM / DD YYYY
To * / MM / DD YYYY
Position *
Salary *
Reason for leaving *
Company 2
Company Name
From / MM / DD YYYY
To / MM / DD YYYY
Position
Salary
Reason for leaving
Company 3
Company Name
From / MM / DD YYYY
To / MM / DD YYYY
Position
Salary
Reason for leaving
Personal References

(Not former employers or relatives)
Reference 1
Name * First Last
Occupation *
Phone * - (###) - ### ####
Reference 2
Name * First Last
Occupation *
Phone * - (###) - ### ####
Reference 3
Name * First Last
Occupation *
Phone * - (###) - ### ####
Record of Education
High School
School *
Course of study *
Year completed *
Graduated? * Yes
Degree or diploma? Degree Diploma
College/Technical or Vocational School
School
Course of study
Year completed
Graduated? Yes
Degree or diploma? Degree Diploma
Hobbies and special interests
Are you 18 years of age or older? Yes No
If no, date of birth: / MM / DD YYYY
Have you ever been convicted of a crime or felony? * Yes No
Have you ever been counseled or disciplined for being late or absent from work? * Yes No
If you have answered yes to either of the above, please explain:

IMPORTANT - READ BEFORE SUBMITTING APPLICATION

I certify that information given herein is true and complete to the best of my knowledge.

Gill Security Systems, Inc. complies with the fair credit reporting act of 1996. I authorize investigation of all statements and references contained in this application as may be necessary in arriving at an employment decision, including request for criminal, credit, or motor vehicle driving records. I understand that incorrect, misleading or incomplete information on this application may result in immediate termination of employment. I understand that this application and any other company documents are not contracts of employment, and that any individual who is hired may voluntarily leave employment upon proper notice or may be terminated by the employer at any time and for any reason. I also understand that any oral or written statements to the contrary are expressly disavowed and should not be relied upon by any prospective or existing employee. I understand that the use of illegal drugs is prohibited during employment. Our random drug testing could require you to submit to a drug testing to detect the use of illegal drugs during employment.