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Waterbury, Connecticut
 

Security Guard Application


First Name:*
Last Name:*
Address:*
Apt#
City:*
Burough:
State:*
Zip:*
Home Phone Number:*
Cell Phone Number:
Email:*
Position:
Do you have your 8 hour certificate?*
Yes No
If you answered yes to the above question, did you do your 16 hours OJT?*
Yes No Not Applicable
Do you possess a valid and active CT Security Guard License?*
Yes No
Do you possess a CT pistol permit?*
Yes No
Are you available to work weekends?*
Yes, both Saturday and Sunday
Yes, but Saturday Only
Yes, but Sunday Only
No
What shifts are you interested in working?*

Days
Evenings
Nights
Any Shift Available

What is the minimum hourly pay rate you would be willing to work for?*
Are you willing to submit to a drug test?*
Yes No
How much experience do you have in the Security Industry?*
Less than 1 year
1-3 years
3-5 years
5 years & up
Are you a United States Citizen?*
Yes No
If you are NOT a U.S. citizen, what do you possess that allows you to work legally in in the United States?*
Unexpired Passport Certificate of Naturalization
Alien Registration Card
Not Applicable
Do you possess a valid CT ID card?*
Yes No
Do you possess a valid CT ID driver's license?*
Yes No
Do you possess a High School Diploma?*
Yes No
Do you possess an Equivalent (G.E.D.)?*
Yes No
Please describe your previous experience in the space below. Resumes can also be copied and pasted into this space (Note that all formatting will be lost).*