Personal Information

Last Name First Name Middle Initial

Social Security Number Verify Social Security Number
Enter only numbers, no dashes or spaces.  If you do not feel comfortable
submitting this information online, you may enter nine zeroes and submit
a paper application at a later date.

Daytime Telephone Number

Current Address
 

Permanent Address (If different)

Applying For
Sales Associate
Security Guard

Salary Desired

Are you currently employed?
Yes. Please do not contact my current employer.
Yes. Feel free to contact my current employer.
No, I am current unemployed. Briefly explain:
           

Year of High School Diploma
Year of GED
College Credits0-1112-2930-5960-89 or Associates Degree90 or more120 or Bachelors DegreeMasters Degree
College Major

United States Military Experience
None
Active Duty, Active Guard, or Active Reserve
Honorably Discharged
Other than Honorable Discharged

Please enter your last four employers, addresses of employers, dates of employment, positions held, salaries, and reasons for leaving. Be sure to provide contact information for your direct supervisors. We may contact them as references unless you clearly request we do not do so. You may also enter other references or information you feel will assist us in making our decisions. This is your chance to show us who you are, but most importantly be honest and do not exaggerate.

"By typing my name below, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application or any other document shall be grounds for dismissal and/or additional legal action.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any other information they may have, personal or otherwise.  I release Guard Dog Security Systems Incorporated ("the Company") and its employees from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the Company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized representative of the Company.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

Signature (legal guardian if under 18 years of age)