First Coast Security || Honesty, Trust & Stewardship || Employee Application

Welcome to the Application for Employment portion of our website. Here, you will be able to apply for a position with First Coast Security. First Coast Security is an Equal Opportunity employer and does not discriminate on the basis or any legally protected status or characteristic. First Coast Security is a drug free workplace.

Please fill in the following. Fields with an * are required.

POSITION APPLYING FOR:

PERSONAL DETAILS

LAST NAME:

DATE:

31 July, 2010

FIRST NAME:

ADDRESS:

MIDDLE INITIAL:

CITY:

OTHER NAMES USED:

STATE:

SOCIAL SECURITY #:

ZIP CODE:

HOME PHONE:

COUNTY:

CELL PHONE:

EMAIL ADDRESS:

DO YOU HAVE A VALID FLORIDA SECURITY OFFICER LICENSE?:

Yes No

if yes, please provide license information (if you possess a Temporary D License fill in Temp in the space below):

	D LICENSE #:			G LICENSE #:
	EXPIRATION DATE:			EXPIRATION DATE:

ARE YOU AT LEAST 18?:

Yes No

HAVE YOU EVER BEEN CONVICTED OR HAD ADJUDICATION WITHHELD ON ANY FELONY OR MISDEMEANOR?:

Yes No

if yes, please describe conditions:

(conviction will not necessarily disqualify an applicant from employment)

EMPLOYMENT DETAILS

TYPE OF EMPLOYMENT DESIRED:

Full Time Part Time Temporary

SALARY DESIRED:

DAYS AVAILABLE:

Mon Tues Wed Thurs Fri Sat Sun

SHIFT AVAILABLE:

1st 2nd 3rd Any

GEOGRAPHIC PREFERENCE:

WILLING TO WORK OVERTIME:

Yes No

WORK EXPERIENCE

Start with the most recent position, provide dates and explanation for each period of employment and unemployment for the five (5) years.

*	PRESENT/LAST EMPLOYER:	*	START DATE:
*	JOB TITLE:	*	END DATE:
*	ADDRESS:	*	RATE OF PAY:
*	CITY:	*	REASON FOR LEAVING:
*	STATE:	*	SUPERVISOR NAME:
*	ZIP CODE:	*	SUPERVISOR TITLE:
*	TELEPHONE:	*	MAY WE CONTACT?:	Yes No

*	JOB DUTIES:

	PREVIOUS EMPLOYER:		START DATE:
	JOB TITLE:		END DATE:
	ADDRESS:		RATE OF PAY:
	CITY:		REASON FOR LEAVING:
	STATE:		SUPERVISOR NAME:
	ZIP CODE:		SUPERVISOR TITLE:
	TELEPHONE:

	JOB DUTIES:

	PREVIOUS EMPLOYER:		START DATE:
	JOB TITLE:		END DATE:
	ADDRESS:		RATE OF PAY:
	CITY:		REASON FOR LEAVING:
	STATE:		SUPERVISOR NAME:
	ZIP CODE:		SUPERVISOR TITLE:
	TELEPHONE:

	JOB DUTIES:

EDUCATION AND TRAINING

Type of School	Name & Location of School	Degree Earned	Major/Minor Field(s) of Study

HIGH/TRADE SCHOOL:		Yes No
BUSINESS/TECH SCHOOL:		Yes No
COLLEGE(S):		Yes No
OTHER TRAINING:		Yes No

REFERENCES

List three (3) business references (DO NOT INCLUDE RELATIVES OR FRIENDS)

*	FULL NAME	*	TELEPHONE:	*	RELATIONSHIP:

APPLICANT STATEMENT:
Please read the following statement carefully before submitting this application. Only applications that are complete will
be considered.

The facts set forth in my application are true and complete to the best of my knowledge, and I have not knowingly omitted any information that was requested. I understand that if employed, false statements, omissions or misleading statements on this application, regardless of the time discovered, shall be cause for dismissal. I agree that my employer shall not be held liable in any respect if my employment is terminated because of such omissions or false or misleading statements. I authorize any present or former employers, schools, credit agency or government agency to release to First Coast Security or its agents with any and all such information, which may be related to my employment.

By clicking the "I Accept" button below, you are acknowledging that you understand and accept the above statement.

Contact Information
One Independent Drive, Suite 117 Jacksonville, FL 32202
Agency #: B9700146/B2400134 \|	(904) 598-1993 \|	info@fcssfl.com

FIRST COAST SECURITY

Home | Sales Inquiries | Web Site Design, Development & Hosting by Bosch Solutions