Pre Employment Application

Anderson Security Incorporated takes pride in hiring only the best qualified individuals. If you wish to be a part of our team please fill out the pre-employment application and we will get back with you.

We are open Monday through Friday from 8:00 AM to 4:30 PM to afford you the flexibility to stop by at your convenience.

Pre-Employment Application (privacy statement)
 
* indicates required fields
First Name * Middle Initial *
Last Name *
Maiden Name
Address 1*
Address 2
City*
State/Province*
Zip/Postal Code*
Primary Phone *
Secondary Phone
Email Address
Process Code* « enter process code»

Are you a tleast 18 years of age?* Yes No
Have you worked for this company before?* Yes No If yes, when?
Do you have friends or relatives who work for the company?* Yes No If yes, who?
Are you lawfully eligible for employment in the U.S.?* Yes No
Have you ever been arrested or convicted of a felony?* Yes No If yes, when? (Year)
If yes, please explain:
How did you hear about this opening?*
Hourly Salary Desired:*
Date available to start work:*
Do you want to work:* Full Time
Any Available Hours
Part Time
If part time, max hours per week:
Actual hours that you are available on a daily basis. DO NOT list shift preference!* Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Do you hold a valid Ohio Driver’s License? * Yes No
If hired, do you have a reliable means of transportation to get to work?* Yes No (NO BUSES)

Employment History

Please list all employers for the last seven years. If you have had more than three employers over the last seven years, use the additional space at the bottom of this section to enter more former employer information.
Current or Previous Employer*
Address
Position Held
Reason for leaving
Dates Employed Start (mm/yyyy)      End (mm/yyyy) 
Salary Start $ Hourly      End $ Hourly 
Supervisor
Phone
If you are currently employed, may we contact your current employer? Yes No
If no, please explain
   

Previous Employer
Address
Position Held
Reason for leaving
Dates Employed Start (mm/yyyy)      End (mm/yyyy) 
Salary Start $ Hourly      End $ Hourly 
Supervisor
Phone
   

Previous Employer
Address
Position Held
Reason for leaving
Dates Employed Start (mm/yyyy)      End (mm/yyyy) 
Salary Start $ Hourly      End $ Hourly 
Supervisor
Phone
Use this additional space to record more former employers.
   

References (no relatives)

Reference 1 Name*
Phone Number*
Relationship
Reference 2 Name*
Phone Number*
Relationship

Education

 
Name & Location High School:*
Did you graduate? Yes No
If you attended College, Name & Location
Did you graduate? Yes No - Major:
Please list special training, certifications, or other information that may be applicable for your employment

Military Service

 
Have you served in the Armed Forces?* Yes No
Service Branch
Total Years/Months of service:
Rank upon release:
Discharge status:
Duties:
If a member of the "Reserves," are you Active Inactive

Additional Information

 
Have you ever been fingerprinted?* Yes No
If yes, please indicate when, where and why:
   
Please write a brief statement on why you feel Anderson Security, Inc. should hire you as a Security Officer:

Employment Disclosure & Authorization

Required: Click here to read Our Disclosure & Authorization Form* Agree: Yes No
Initials:* Your initials will be your electronic signature