SMS Security Inc. | SMS Security Online Employment Application

SMS Security Online Employment Application

Please completely fill out the application before submitting. We thank for your interest and we will contact your soon.

SMS Security is an Equal Oppurtuniy Employer.

Personal Information

First Name:

Middle Name:

Last Name:

SSN: (000-00-0000)

Date of Birth: (mm/dd/yyyy)

Permanent Address

Address:

Apt. or Suite Number:

City:

State:

Zip Code:

Previous Address if Less Than 3 Years

Address:

Apt. Number:

City:

State:

Zip Code:

Contact Info

Phone: (000-000-0000)

Cell: (000-000-0000)

Email:

Emergncy Contact Info

First Name:

Last Name:

Email:

Emploment Status

Are you over the age of 18?:

Yes: No:

Authorized to work in the U.S.?:

Yes: No:

Desired Employment

Position:

Date you can start? (mm/dd/yyyy)

Desired Salary: ($00.00)

Currently employed?

Yes: No:

If so, where?

If yes, may we contact your current employer?

Yes: No:

If yes, current employer’s phone:

Ever Applied to SMS Security, Inc before?

Yes: No:

If so, where?

If so, when? (mm/dd/yyyy)

Ever worked for SMS Security, Inc before?

Yes: No:

If so, where?

If so, when? (mm/dd/yyyy)

Reasons for Leaving:

Name of last supervisor at SMS Security, Inc.:

How did you find out about this Posistion?

Other:

Education

High School Diploma?

Yes: No:

College Graduate?

Yes: No:

If yes, where?:

Approximate Units?:

Trade, Business, or Correspondence School?

Yes: No:

If yes, where?:

Approximate Units?:

Health

Security posistions may require vigorous exercise. Failure to report any health conditions may be grounds for termination.

Any Major Healther Conditions?

Yes: No:

If yeas, please explain:

Are you taking any Medication?

Yes: No:

If yeas, please explain:

Have you had any major surguries?

Yes: No:

If yeas, please explain:

Former Employee 1

Name of Employer:

Address:

City:

State:

Zip Code:

Start Date? (mm/dd/yyyy)

End Date? (mm/dd/yyyy)

Job Title:

Weekly Starting Salary: ($00.00)

Ending Starting Salary: ($00.00)

May we contact your supervisor?

Yes: No:

Name of Supervisor:

Supervisor Title:

Phone: (000-000-0000)

Description of Work:

Reasons for Leaving:

Former Employee 2

Name of Employer:

Address:

City:

State:

Zip Code:

Start Date? (mm/dd/yyyy)

End Date? (mm/dd/yyyy)

Job Title:

Weekly Starting Salary: ($00.00)

Ending Starting Salary: ($00.00)

May we contact your supervisor?

Yes: No:

Name of Supervisor:

Supervisor Title:

Phone: (000-000-0000)

Description of Work:

Reasons for Leaving:

Former Employee 3

Name of Employer:

Address:

City:

State:

Zip Code:

Start Date? (mm/dd/yyyy)

End Date? (mm/dd/yyyy)

Job Title:

Weekly Starting Salary: ($00.00)

Ending Starting Salary: ($00.00)

May we contact your supervisor?

Yes: No:

Name of Supervisor:

Supervisor Title:

Phone: (000-000-0000)

Description of Work:

Reasons for Leaving:

General Information

Special Interests, Study, or Research:

Special Training, Licenses, or Certifications:

Special Skills, Foreign Languages, etc.:

Professional References

Reference 1

Name:

Profession:

Years known:

Phone or Address:

Reference 2

Name:

Profession:

Years known:

Phone or Address:

Reference 3

Name:

Profession:

Years known:

Phone or Address:

Reference 4

Name:

Profession:

Years known:

Phone or Address:

Service Record

Have you ever served in the armed forces?

Yes: No:

If yes, which branch?:

Discharge Date:

Rank:

If dishonorably discharged, please explain:

Convictional Record

Have you ever been convicted of, plead guilty/no-contest to, or had a suspended imposition of sentnence for any offence (other than a minor traffic violation)?

Yes: No:

If yes, please explain?:

A convictional record will not necessarily exclude you from consideration. This information will be used for job-related purposes only and to the extent permitted by law.

Personal Agreement

“I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application will be grounds for dismisal.

“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 pertinent information they may have, personl or otherwise and release SMS Security, Inc. from all liability for any damage that may result in utilization of such information.

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

“This wavier 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.”

Signed: (full name)

Date: (mm/dd/yyyy)

what color is an orange? (for security reasons):