Freelend Security and Associates
Tennessee Division
Employment Application /

Applicant Information

Last Name / First / M.I. / Date
Street Address / Apartment/Unit #
City / State / ZIP
Phone / E-mail Address
Date Available / Social Security No. / Date of Birth
Position Applied For/Desired Salary
Are you a citizen of the United States? / YES / NO / If no, are you authorized to work in the U.S.? / YES / NO
Have you ever worked for this company? / YES / NO / If so, when?
Have you ever worked for a security company? / YES / NO / If so, when?
Have you ever been arrested? / YES / NO / If so, what states?
If yes, were you transported to or surrendered at a police station, sheriff’s office, or other law enforcement agency? / YES / NO
If so, were you fingerprinted and booked into jail? / YES / NO
Were misdemeanor or felony charges filed against you? / YES / NO
List the charges and dates:
Did you appear before the court and enter a plea of guilty, not guilty, or no contest? / YES / NO
If you pled guilty or were found guilty, what was the sentence of the court?
Are you currently on deferred sentence or probation? / YES / NO
Did the court dismiss the charges against you? / YES / NO
Were those charges against you expunged from your record by the court? / YES / NO
Do you currently have charges pending against you? / YES / NO
Have you ever been declared incompetent by reason of mental defect or disease? / YES / NO
Are you currently suffering from habitual drunkenness or any narcotic addition? / YES / NO / If so, will need proof of having completed treatment program.

Education

High School / Address
From / To / Did you graduate? / YES / NO / Degree
College / Address
From / To / Did you graduate? / YES / NO / Degree

References

Please list three professional references.
Full Name / Relationship
Company / Phone
Address
Full Name / Relationship
Company / Phone
Address
Full Name / Relationship
Company / Phone
Address

STATEMENT OF COMPLIANCE AND UNDERSTANDING

·  I understand that it is my responsibility to know and understand the laws and rules regulating private security guards/officers. This information will be provided by Freelend Security and Associates through required training.

·  I understand that I may not begin work for this company until this training has been completed.

·  I understand I will be required to sign a non-compete agreement in the event I should leave this security firm for another.

·  I understand should I be charged with an offense other than a minor traffic offense, I am required to notify my employer immediately and I could be terminated.

·  I do hereby give Freelend Security and Associates permission to contact the references I have listed above and I do realize my employment is contingent upon a favorable report from these references.

·  I understand these references will be questioned in regards to, but not limited to, my character, general reputation, personal characteristics, and employment/education verification.

·  I further authorize any person, business entity and/or governmental agency who may have information relevant to the above to disclose this information to Freelend Security and Associates, including, but not limited to, any and all courts, public agencies, law enforcement agencies, and credit bureaus, regardless of whether such person, business entity or governmental agency compiled the information itself or received it from other sources.

·  I understand that any false statement(s) and/or misrepresentation(s) given by me on this application or on any attachments could result in failure to be hired by Freelend Security and Associates. Therefore, I certify that all answers, statements and information given herein and on any attachments, are true and correct to the best of my knowledge and belief.

______

Signature of Applicant

______

Date

Previous Employment

Company / Phone
Address / Supervisor
Job Title / Starting Salary / $ / Ending Salary / $
Responsibilities
From / To / Reason for Leaving
May we contact your previous supervisor for a reference? / YES / NO
Company / Phone
Address / Supervisor
Job Title / Starting Salary / $ / Ending Salary / $
Responsibilities
From / To / Reason for Leaving
May we contact your previous supervisor for a reference? / YES / NO
Company / Phone
Address / Supervisor
Job Title / Starting Salary / $ / Ending Salary / $
Responsibilities
From / To / Reason for Leaving
May we contact your previous supervisor for a reference? / YES / NO

Military Service

Branch / From / To
Rank at Discharge / Type of Discharge
If other than honorable, explain

Additional experience (relative to the position applying for)