Personal Information

First Name *

Middle Name (Full)

Last Name *

Home Address *

Major Address Cross Streets *

City *

State *

Zip Code *

Email Address *

Home Phone

Cell/Message Phone *

Are you at least 18 years of age? *

Are you at least 21 years of age? *

Screening

I can pass a preemployment drug screen as a condition of employment. *

I agree to being drug tested at any time during my employment. *

Have you received a covid-19 vaccination? *

Where did you find our job posting? *

Emergency management applicants only:

Select the regions you prefer to be deployed

Education

What is the highest level of education you've completed? *

Driving History

Do you currently possess a valid state driver's license? *

State *

Do you have your own vehicle to get to different job sites? *

Employment

Are you currently employed? *

Please list current employer: *

Put N/A if not currently employed

Have you ever been fired or terminated from any employment? *

If yes, please list agency here:

Employment History

Position #1

Start date (position #1) *

End date (position #1) *

Name of employer (Position #1) *

Street address of employer (Position #1) *

City of employer (Position #1) *

State (position #1) *

Supervisor's Name (Position #1) *

Job Title/Duties (Position #1) *

Reason for Leaving (Position #1) *

Position #2

Start date (position #2)

End date (position #2)

Name of employer (Position #2)

Street address of employer (Position #2)

City of employer (Position #2)

State (position #2)

Supervisor's Name (Position #2)

Job Title/Duties (Position #2)

Reason for Leaving (Position #2)

Military Experience

How long were you in the military?

What branch of the military?

Rank obtained?

What was your MOS?

Type of discharge? For anything other than a full Honorable Discharge, please explain:

Did you receive any disciplinary actions in the military (such as Court-Martial, Article 15, Captain’s Mast, Company punishment, reduced in rank, etc.)? If yes, please explain:

Licensing

Do you have a valid arizona unarmed guard card? *

Unarmed License # *

Put N/A if you don't have one

Expiration date *

For unarmed license

Do you have a valid arizona armed guard card? *

Armed License # *

Put N/A if you don't have one

Expiration date

For armed license

Availability

Specify days you are available to work *

Specify times you are available to work *

Are you looking for full time, part time, or either? *

How soon can you begin working? *

Agreement

I have read and agree to the New Hire Packet located at this URL: https://www.dropbox.com/s/0c1ghbpwgavlxxu/2New%20Hire%20Packet%20Complete%20no%20sig.pdf?dl=0

Type your name to indicate you have digitally signed this agreement.<br> *