License #C05980 | F00634
888.994.8256
Est. 1989 — License #C05980 | F00634
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Private Security Level II
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Qualifications
I herby certify that I meet the qualifications of the following statements.
1. Must be eligible to work in the united states.
2. Must be at least 18 years of age.
3. Must submit two fingerprints nd be subject to search of local, state and national criminal history record.
4. Must not be on probation for any criminal offense within the las six (6) months.
5. Must have not been convicted of the offense of a class a or b misdemeanor within the last six (6) months.
6. Must not have been convicted of an offense driving illegally, intoxicated or driving under the influence of drugs within the last twenty-four (24) months.
7. Must not be underindictment or even been convicted anytime of any felony offense.
8. Must not have ever executed at anytime of confession to a felony offense, such confession being admisable as endanger against the person in a criminal proceeding any state or federal court.
9. Must not have been discharged from military service under less than honorable conditions.
10. Must be a high school graduate or have a G.E.D.
11. Must posess a texas drivers license at the time of employment and must not have more than three (3) moving traffic violations within the last three (3) years from date of employment.
12. Must be bilingual in the spanish/ english language.
13. Must show no trace of drug dependancy or illegal drug use.
14. Must be of good moral character.
15. Vision must be no worse than 20/100 correctable 20/20.
16. In addition private investigators are required three (3) years experience in the law enforcement.
Today's Date
First Name
Last Name
Middle Name
Suffix
Phone
Address
City
State
Zip
Email
SSN
Date of Birth
Date Available
Position Applied For
Are you a citizen of the United States?
Yes
No
Are you authorized to work in the U.S.?
Yes
No
Have you ever worked for this company?
Yes
No
If yes, when was your last employment date?
Have you ever been convicted of a felony?
Yes
No
If yes, explain.
Will you work overtime if asked?
Yes
No
Special relevant training or skills?
High School
Address
Did you graduate?
Yes
No
If yes, what year?
Degree
N/A
G.E.D.
High School Diploma
Certification
Associate
Bachelors
Select
Reference #1
Address
Company
Phone
Relationship
Reference #2
Address
Company
Phone
Relationship
Reference #3
Address
Company
Phone
Relationship
Previous Employer #1
Supervisor
Address
Phone
Job Title
Starting Wages
Ending Wages
Duties/Assignments
Start of Employment
End of Employment
Reason for Leaving
Previous Employer #2
Supervisor
Address
Phone
Job Title
Starting Wages
Ending Wages
Duties/Assignments
Start of Employment
End of Employment
Reason for Leaving
Military Service
From
To
Rank at Discharge
Type of Discharge
If other than honorable, explain.
Are you a Vietnam Veteran?
Yes
No
Number of dependants including yourself.
Sex
Male
Female
Marital Status
Married
Divorced
Seperated
Single
Select
Date of Marriage
What was your previous address?
How long at previous address?
Have you ever been bonded?
Yes
No
If "Yes," with what employers?
Have you ever been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court?
Yes
No
If "Yes," describe in full.
State names of relatives and friends working for us, other than your spouse.
Disclaimer and Digital Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interviewmay result in my release.
Consent to Disclosure & Release
The undersigned, hereby permits and consents to the release, disclosure and transmittal of any information, credit report documents and medical records to American Investigations & Security International (AISI) the undersigned further authorized you to release consumer and business credit reports, law-enforcement and fire department reports and insurance records from agents, brokers and insurance companies including, but not limited to applications, proof of loss and claim investigation files. It is the intent of the undersigned y executing this consent to comply with all of the provisions of the Privacy Act of 1984 or any pertinent regulation thereto. It is further expressly understood that the records obtained by AISI.
Pursuant to this authorization may be disclosed to others in connection with this investigation.The purpose of this authorization is to is to release from all liability any person provoking information to AISI. Their agents or representatives. Any and all rights extended under this consent to any representatives of AISI. A copy, photocopy, or facsimile of this consent shall serve as an original.
In witness of thereof, the undersigned/s hereby executes the consent on the following date:
Today's Date
Driver's License #
SSN
Send