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Email Address: | |
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Full Legal Name: | |
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Address: | |
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City: | |
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State: | |
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Zip Code: | |
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Home Phone: | |
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|    Social Security Number: | |
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Are you 18 or older? | YesNo
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Do you have a valid driver's license? | YesNo
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Driver's License #: | |
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State: | |
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Driver's License Type: | |
Employment Desired
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Have you ever interviewed with Alliance    before? | YesNo
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Have you ever been employed by Alliance? | YesNo
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Do you have any relatives employed by    Alliance? | YesNo
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|    If you answered yes to any of the last 3    questions, please explain: |
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Desired Position: | |
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Desired Pay: | |
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Start Date: | |
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How did you hear about this position? | |
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What hours are you available to work?    Please list specific hours, full time, part time,    temp etc. |
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Education & Military Experience
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High School Information - Name, address,    date of graduation, level completed, major    studies, degree/diploma: |
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|    College Information - Name, address, date of    graduation, level completed, major studies,    degree/diploma: |
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|    Vocational school, licenses, certifications or    other educational information: |
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|    Military - Branch, date of service, final rank,    assignments: |
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Skills
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|    Do you type? If so please list your WPM: |
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|    Foreign Languages: |
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|    Computer Skills (Hardware/Software): |
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|    Other skills, knowledge, areas of expertise: |
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Employment History (starting with the most recent)
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Dates employed:
   Job title:
   Employer name and address:
   Supervisor name and title:
   Phone number:
   Reason for leaving:
   Duties, Responsibilities, Promotions:
   Salary start/Salary end: |
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Dates employed:
   Job title:
   Employer name and address:
   Supervisor name and title:
   Phone number:
   Reason for leaving:
   Duties, Responsibilities, Promotions:
   Salary start/Salary end: |
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Dates employed:
   Job title:
   Employer name and address:
   Supervisor name and title:
   Phone number:
   Reason for leaving:
   Duties, Responsibilities, Promotions:
   Salary start/Salary end: |
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References Please provide three references (not relatives or previous employers)
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Name:
   Address:
   Phone:
   Relationship:
   Occupation:
   Years Known:
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Name:
   Address:
   Phone:
   Relationship:
   Occupation:
   Years Known:
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Name:
   Address:
   Phone:
   Relationship:
   Occupation:
   Years Known:
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General
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Are you currently employed? | YesNo
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   If yes, may we contact your present    employer? | YesNo
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Will you be able to perform the job functions    for the position you are applying - with or    without reasonable accommodations? | YesNo
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If offered employment, will you be able to    provide proof of identity and authorization to    work in the US? | YesNo
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Have you ever been convicted of a felony or    misdemeanor? | YesNo
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|    If yes, please explain: |
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Applicant Statement
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   I understand and agree to the following:
   This application is not a contract of employment. Should the employer hire me and should any of the information I    have given in this application be found false, misleading, or incomplete, I shall be subject to dismissal.
   The employer follows an “at will” employment policy, meaning I or the employer may terminate employment at    any time for any reason consistent with applicable law.
   All hired persons must provide proof of identity and authorization to work in the US. Failure to produce such    proof will result in denial of employment.
   I authorize investigation of all statements given on this application. The employer may contact any educational    institution, reference, or employer listed on this application, except my current employer if so noted, to verify the    information I have given. I hereby release all involved parties from any liability arising from such an investigation.
   I certify that all the information given in this application is complete and true.
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Electronic Signature: |
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Alliance Detective and Security Service Inc. is an Equal Opportunity Employer. |