Job Application | Oatridge Security Group

Application for Employment

Positions Applied For*

Date of Application*

You must be at least 18 years of age to apply for a Security Officer position!

How did you learn about us?*

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Employment Agency
Friend/Relative
Current Employee
Other

If you selected Current Employee or Other, please explain who referred you or how you found us.

Name*

First Middle Last

Address*

Social Security Number*

Cell Phone Number*

Home Phone Number

Email*

Are you a veteran?*

Yes
No

If you are a veteran, please give date(s).

Have you ever filed an application with us before?*

Yes
No

If yes, please give date(s).

Have you ever been employed with us before?*

Yes
No

If yes, please give date(s).

Are you currently employed?*

Yes
No

May we contact your employer?*

Yes
No

Are you currently on “lay off” status subject to recall?*

Yes
No

On what date would you be available for work?*

Are you available to work:*

Full Time
Part Time
Shift Work
Temporary

Can you travel as a job requires it?*

Yes
No

If yes, how far are you willing to travel?

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration?*

Yes
No

(Proof of citizenship or immigration status will be required upon offer of employment).

Have you ever been convicted of a felony or gross misdemeanor?*

Yes
No

If yes, explain all (write N/A if no.)*

Education*

Name & Address of School	Course of Study	Years Completed	Diploma/Degree	Level of School (High School, College, Etc.)

Availability Form

How much money are you looking to make per hour?*

How many hours a week do you want to work?*

If you prefer working part-time, what is the maximum number of hours you want to work?*

Rate, in order of preference and availability, the shifts you would work – 1 being the most preferred and 3 being the least. Circle NA if you are not available to work that particular shift.

Graveyard Shift*

1
2
3
N/A

Swing Shift*

1
2
3
N/A

Days Shift*

1
2
3
N/A

Are you willing to work overtime?*

Yes
No

Would you want to be on our “on-call” list for emergency fill-in jobs?*

Yes
No

Are you currently working another job?*

Yes
No

If yes, what are the hours? (Full-time or part-time)

Please indicate the transportation available to you.*

Private Vehicle
Public Transportation
Bicycle
Walk

Are you available to work indoors?*

Yes
No

Are you available to work outdoors?*

Yes
No

Do you have limitations that would hinder you from performing the duties of a Security Officer?*

Yes
No

If yes, please explain.

Employment History

Employer Name #1*

Start Date*

End Date*

Supervisor Name & Title*

Address*

Phone #1*

Phone #2

Job Title*

Work Performed*

Reason for Leaving*

Employer Name #2 (If Applicable)

Start Date

End Date

Supervisor Name & Title

Address

Phone #1

Phone #2

Job Title

Work Performed

Reason for Leaving

Employer Name #3 (If Applicable)

Start Date

End Date

Supervisor Name & Title

Address

Phone #1

Phone #2

Job Title

Work Performed

Reason for Leaving

State any additional information you feel may be helpful to us in considering your application. Note to applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE JOB REQUIREMENTS FOR WHICH YOU ARE APPLYING.*

Are you capable of performing in a reasonable manner, with or without reasonable accommodation, the activities involved in the job or occupation for which you have applied?*

Yes
No

Application Statement

Consent*

I agree to the following.

I certify that answers given herein are true to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and that the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such a change is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all the employer’s rules and regulations.

Applicant Name*

First Last

Date*

References

Reference #1 Name*

Reference #1 Phone*

Reference #1 Address*

Reference #2 Name

Reference #2 Phone

Reference #2 Address

Reference #3 Name

Reference #3 Phone

Reference #3 Address

DISCLOSURE AND CONSENT TO CRIMINAL HISTORY CHECK FORM

Consent*

I affirm that I have not been:

Convicted of any crime against children or other persons; which have been defined as follows: aggravated murder; first or second degree murder; first or second degree kidnapping; first, second or third degree rape; first, second or third degree statutory rape; first or second degree robbery; first degree arson; first degree burglary; first or second degree manslaughter; first or second degree extortion; indecent liberties; incest; vehicular homicide; first degree promoting prostitution; communication with a minor; unlawful imprisonment; simple assault; sexual exploitation of minors; first or second degree criminal mistreatment; child abuse or neglect as defined in RCW 26.44.020; first or second degree custodial interference; malicious harassment; first, second or third degree child molestation; first or second degree sexual misconduct with a minor; patronizing a juvenile prostitute; child abandonment; promoting pornography; selling or distributing erotic material to a minor; custodial assault; violation of child abuse restraining order; child buying or selling; prostitution; felony indecent exposure; or any of these crimes as they may be renamed in the future.
b. Conviction of crimes relating to financial exploitation if the victim was a vulnerable adult.
c. Found in any dependency action under RCW 13.34.040 to have sexually assaulted or exploited any minor or to have physically abused any minor.
d. Found by a court in a domestic relations proceeding under Title 26 RCW to have sexually abused or exploited any minor or to have physically abused any minor.
e. Found in any disciplinary board final decision to have sexually or physically abused or exploited any minor or developmentally disabled person or to have abused or financially exploited any vulnerable adult; or
f. Found by a court in a protection proceeding under Chapter 74.34 RCW, to have abused or financially exploited a vulnerable adult.
I understand that should I choose not to sign this statement and/or submit to a Criminal History Check, I will be disqualified from being employed with the Oatridge Security Group, Inc.
I certify under penalty of perjury that the foregoing is true and correct and consent to a Criminal History Check at this time and any future time that OSG deems appropriate.

Dated at:*

(City)

in Washington on:*

(Day, Month & Year)

Complete Legal Name*

Prefix First Middle Last Suffix

Date of Birth*

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