Initial Job Employment Application

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Initial Job Employment Application

These instructions must be followed exactly. Fill out application form completely. If questions are not applicable, enter "NA". Do not leave questions blank. Be sure to sign when completed. Palisade is an Equal Opportunity Employer and does not discriminate on basis of race, color, national origin, sex, religion, age or disability in employment or provision of services. Each copy must be signed and resumes will not be accepted in lieu of applications.

Email *

Applying as *

Security Guard

Armed Security Guard

Event Staff

Name *

Last name First and Middle

Mailing Address *

Phone number *

Which position(s) are you interested in? *

Full Time

Part Time

Temporary

Required

Date available for work? *

Are you over 18 years of age?
*

Yes

Required

If under 18, can you provide a work permit?
*

Yes

If employed, can you submit verification of your legal right to work in the United States?
*

Yes

Are you able to perform the essential functions of the job for which you are applying with or without reasonable accommodations?
*

Yes

If no, describe the functions that cannot be performed:
*

Have you ever been convicted of a criminal offense, felony or misdemeanor?
*

Yes

If your answer is "Yes", explain in concise detail on a separate page, giving dates and nature of the offense, name and location of court, and disposition of the case(s). conviction may not disqualify you, but a false statement will.
*

High School Graduate or GED?
*

Yes

If yes, name and location of high school or GED Institute:

Education

*Note: Applicants may be required to provide proof of diploma, degree, licenses, certifications, and registrations.

Name and Location of School/Dates Graduated/Type of Degree *

Do you speak, write, or understand any foreign language?
*

Yes

If yes, which language(s)?
*

Specific skills or training: What knowledge, special skills, and/or individual capabilities do you have which especially prepare you for the
position applied for?

Are you licensed/certified for the job applied for?
*

Yes

Guard Card

Yes or No

License Number

Exposed Firearm Permit

Yes or No

License Number

Drivers License

Yes or No

License Number

Experience: Please account for all employment within the last seven (7) years, beginning with your current or more recent employer. In additions, please indicate any other
experience which you believe is relevant to the position for which you are applying (e.g., volunteer experience, military service, experience gained over seven (7) years
prior, etc.) Attach an additional sheet if extra space is needed.

Position Title:
Employer:
Mailing Address:
City & State/Zip:
Employer Phone No:

Immediate Supervisor Name:
Start and End Date

Supervisor Name:

Summary of experience including special training/skills/qualifications you have used in the performance of this job

Specific Reason for Leaving:

Final Pay

PRE-EMPLOYMENT CERTIFICATION

Check all boxes to confirm and understand

The information that I have provided on this application is accurate to the best of my knowledge and may be verified by the Company or its agents

I authorize all the schools, persons and organizations named in the application to provide any relevant information in their possession or knowledgeknowledge to the agents of the Company, for use in deciding whether or not to offer me employment and specifically waive any required written notification.

I understand and agree that any misrepresentation or omission of facts in this application will be justification for refusal or termination of, regardless of the time elapsed before discovery.

at any time with it without cause, without prior notice, by either myself or the Company. There will be no agreement, express or implied, betweenthe Company and me for any specific period of employment, nor for continuing or long term employment unless made in writing, signed by an authorized representative of the Company.

If employed I understand that I will be required to possess a current and valid California Guard Card If my position requires me to have one

Required

A copy of your responses will be emailed to the address you provided.

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