Careers

Name:

Date:

Previous names or other legal names:

Street:

Apt.No:

City:

State:

Zip:

E-mail:

Home Telephone:

Business/other telephone:

APPLICANT QUESTIONS:

Position Applied For:

Are you 18 or older? YesNo

How were you referred to Safeguard Protection Services? (If referred by a current employeeplease list his/her name)

Are you authorized to work in the US for any employer without sponsorship? (New employees are required to provide proof of eligibility) YesNo

Please list your availablity (Days and Hours) :

Should youravailability changeduring thecourseofyouremployment, it may impact youremployment statusbased on business needs. Whilewe may be able to accommodate youravailability limitations upon hire, we do not guarantee that we will be able to supporttheselimitations in thefuture. Shouldour business needs change,we may requirean adjustment in youravailability.

Have you signed anagreement relating to non-compete, tradesecrets, orconfidential information with any other employer? YesNo

If yes, please furnish a copy of the agreement.

Have youever been employed with SGS before? YesNo

If so,when?

EDUCATION:

High School or last grade completed:

Name & City/State of School:

Course of Study:

Number of years completed:

Degree/Diploma:

College or Technical School:

Name & City/State of School:

Course of Study:

Number of years completed:

Degree/Diploma:

Other Schooling or Training:

Name & City/State of School:

Course of Study:

Number of years completed:

Degree/Diploma:

Military Experience:

Branch of Service:

Status:

RECORD OF EMPLOYMENT:

List positions starting withmostrecent (past 10 years or 3 mostrecent):

Employer:

Telephone:

Address:

Position Title:

Supervisor:

Start Date:

End Date:

Start Salary:

End Salary:

Duties:

Reason for Leaving:

May we contact?:

Employer:

Telephone:

Address:

Position Title:

Supervisor:

Start Date:

End Date:

Start Salary:

End Salary:

Duties:

Reason for Leaving:

May we contact?:

Employer:

Telephone:

Address:

Position Title:

Supervisor:

Start Date:

End Date:

Start Salary:

End Salary:

Duties:

Reason for Leaving:

May we contact?:

References

Name:

Occupation:

Relationship:

Years Known:

Telephone: