Employment Pre-Screening Application

(review privacy policy)

Centron Security is an equal opportunity employer. All applicants are considered for employment without regard to race, religion, sex, national origin, color, age, marital or veteran status, the presence of a non-job-related medical condition or physical handicap, or any other status protected by federal or state law.

Please fill out the entire application; be honest and explain answers thoroughly. Upon completing the application click Submit Application. Your application will be e-mailed to our office and our hiring manager will contact you in 3 - 5 business days.

The information given on this form is solely for the use of Centron Security and will be held in the strictest confidence. It will be to the applicant's advantage to answer each question fully and accurately. The use of this form does not indicate that there are any positions open and does not obligate the Company in any way.

* Your online application will not process until all required fields are completed!

Acknowledgements

Agree to Acknowledgement and Consent *

Yes No
Read Acknowledgement and Consent
Personal
First Name * Middle Initial
Last Name *
E-mail address *
Present Address 1 *
Address 2
City *
State *
Zip Code *
Phone *
Alternate Address
Address 2
City
State
Zip Code
Alternate Phone
Position Applied For *
Starting Salary Desired *
Geographical Locations Preferred *
Date Available for Employment*
Referred By
Eligible to Work in United States?* Yes No
Are you willing to Travel?* Yes No
Are you willing to Work Overtime?* Yes No
Are you willing to Transfer?* Yes No
Are you at least 18 years of age?* Yes No
Have you previously worked for our company?* Yes No
Employment Background
Last or present employer *
Employer complete address *
Employer Phone Number*

Dates *

to
Supervisor name and title *
Starting Base Salary *
Current Base Salary *
May we contact?* Yes No
Your Job Title *
Brief description of duties *
(include number of persons supervised, if applicable)
Reason for leaving *

2. Employer
Employer complete address
Employer Phone Number
Dates to
Starting Base Salary
Ending Base Salary
Supervisor name and title
Job Title
Brief description of duties:
Reason for leaving

3. Employer
Employer complete address
Employer Phone Number
Dates to
Starting Base Salary
Ending Base Salary
Supervisor name and title
Job Title
Brief description of duties
Reason for leaving
Education
High School Diploma or GED* Yes No
Attend College * Yes No 
If no degree obtained, indicate number of college credit hours completed
What College did you attend?
List any courses you are now taking
Special Awards or Recognitions
U.S. Military Service

Branch of service


Dates of Active Duty to
Highest Rank Attained
Honorable Discharge Yes No

Reserve Status


Reserve Branch


Criminal
Have you ever plead guilty or nolo contender (no contest), received deferred adjudication, received probation, court ordered community supervision, pre-trial diversion, or been convicted of any criminal offense (felonies and misdemeanors) other than minor traffic citations? * Yes No
If yes, please list date, nature,location,disposition:
Skills
List office skills, trades, abilities or license certifications that may be beneficial in the job for which you are applying
Foreign Languages: (include degree of proficiency: speak, read, write)
References
1. Reference Name & Association
Occupation
Address
Phone Number
Years Known

2. Reference Name & Association
Occupation
Address
Phone Number
Years Known

3. Reference Name & Association
Occupation
Address
Phone Number
Years Known
Referral
How did you hear about us? Search Engine (i.e. Google, Yahoo, Bing...)
Link From Another Website
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