APPLICATION FOR EMPLOYMENT

Personal Information

Last name:

First name:

Middle name:

Date:

Street address:

City:

Zip code:

Home Phone:

Have you ever applied for employment with Century Security?Yes or No

If yes: month and year

Location:

Cell Phone:

Position desired:

Social Security:

Apart from absence for religious observation, are you available for full – time work?
Yes
or

No

If not, what hours can you work?

Pay expected:

Are you legally authorized to work in the United States?
Yes

or
No

If applicable, indicate work visa status and visa expiration date

Will you work overtime if asked?
Yes

Or
No

Place a check mark besides the cities you are willing to travel to work.
Brownsville

South Padre Island

San Benito

Harlingen

Weslaco

Mercedes

McAllen

Palm View

Mission

Edinburg

Other

When you will be available to begin work?

Availability
Full time

Part time

Regular

Temporary

Days

Evening

Nights Weekends

Any shift

Other special training or skills.

Education

College

Name and location of school

Course of study

No. of years completed

Did you graduate?
Yes

No

Degree (or) Diploma

Business / Trade / Technical

Name and location of school

Course of study

No. of years completed

Did you graduate?
Yes

No

Degree (or) Diploma

Name and location of school

Course of study

No. of years completed

Did you graduate?
Yes

No

Degree (or) Diploma

Name and location of school

Course of study

No. of years completed

Did you graduate?
Yes

No

Degree (or) Diploma

Professional References

In additional to the current and former supervisors mention under Employment History, please list below three additional professional Reference who can speak to your qualifications relevant to the position applied for:

Name:

Company:

Title:

Telephone number (Day / Evening):

Relationship:

Address:

Email:

Years of relationship:

Name:

Company:

Title:

Telephone number (Day / Evening):

Relationship:

Address:

Email:

Years of relationship:

Name:

Company:

Title:

Telephone number (Day / Evening):

Relationship:

Address:

Email:

Years of relationship:

How did you hear about this job opportunity at Century Security?
Walk – in

Advertisement, specify publication

Employment referral, Specify name

Century Security website

Internet, Specify website

Other, Specify

Prior conviction Recorded

In additional to the current and former supervisors mention under Employment History, please list below three additional professional Reference who can speak to your qualifications relevant to the position applied for:
Please complete this section on prior conviction.
YOU WILL NOT BE AUTOMATIC DISQUALIFIED FROM CONSIDERATIONS FOR EMPLOYMENT AT CENTURY SECURITY BY FURNISHING THIS
INFORMATION.
YOU ARE NOT REQUIRED TO FURNISH INFORMATION CONCERNING:
• An arrest, detention or disposition regarding a violation of law in which no conviction resulted.
• You may omit any information or answer ‘No record’ with regard to any conviction for which there is a sealed on file with the Commissioner of Probation.

1. - Have you ever been convicted of a misdemeanor?
Yes

NO

If yes, when?

2. - Have you ever been convicted of a felony
Yes

No

If yes, when?

If you answered ‘Yes’ to either of the above questions, please describe in full:

Work Experience

Company name:

Address:

Name of supervisor:

Job title & work description:

Telephone number:

Employed from: (month & year) Start

Last

Salary: Start

Last

Reason for leaving:

Did you leave in good terms?
Yes

No

If no why?

Company name:

Address:

Name of supervisor:

Job title & work description:

Telephone number:

Employed from: (month & year) Start

Last

Salary: Start

Last

Reason for leaving:

Did you leave in good terms?
Yes

No

If no why?

Company name:

Address:

Name of supervisor:

Job title & work description:

Telephone number:

Employed from: (month & year) Start

Last

Salary: Start

Last

Reason for leaving:

Did you leave in good terms?
Yes

No

If no why?

Company name:

Address:

Name of supervisor:

Job title & work description:

Telephone number:

Employed from: (month & year) Start

Last

Salary: Start

Last

Reason for leaving:

Did you leave in good terms?
Yes

NO

If no why?

Company name:

Address:

Name of supervisor:

Job title & work description:

Telephone number:

Employed from: (month & year) Start

Last

Salary: Start

Last

Reason for leaving:

Did you leave in good terms?
Yes

No

If no why?

Notification and agreement

certify that all answers given by me to the foregoing questions and statements made by me on this application are true, accurate and complete to the best of my knowledge and belief. I understand that any falsification, misrepresentation or omission of facts on this application (and any other accompanying or required documents) will be cause for denial of employment or immediate termination of employment with Century Security, regardless of when or how discovered.
I understand that Century Security is a drug free work environment.
I authorize Century Security to investigate all statements and information contained in this application and to obtain related information from my previous employment and educational background. I authorize all previous employment background. I authorize all persons, schools employers or other organizations listed in this application to provide Century Security with any information requested by Century Security related to my qualifications for employment at Century Security.
I understand that Century Security conducts pre-employment Criminal Offender Record Information (CORI) checks on final candidates for all positions and job
offers for these positions are contingent upon satisfactory responses to a (CORI) check review.
I understand that Century Security conducts pre-employment, random, suspicion and posts accident drug and alcohol testing.
I further understand that any job offer made will be contingent satisfactory completion of reference checks and ability to provide necessary documentation of my U.S. citizenship or work authorization in the U.S. within the first 72 hours of my date of hire.
I acknowledge that I have read and understood the above statement.

Legal signature of application:

Date:
Day Month Year

For office use only

EMPLOYMENT AGREEMENT

I is excepting Century Security offering me a job and understand that some of the job sites require different equipment that I need to get to those sites. I agree by accepting this job with Century Security that I will put a refundable deposit down for the equipment that I need.

At the end of employment with Century Security I will return the equipment in the same and working conditions so I could get my deposit back.

I understand the refundable deposit sill be deducted in different increment every biweekly from my pay roll.

I understand that the schedule is subject to change at any time and understand I’m not being hired and promised any specific location or amount of hours.

I agree to this terms and will except this job.

Applicant Signature:
Applicant Print:
Today’s Date:
Supervisor Signature:

EMPLOYEE DRUG AND ALCOHOL TEST CONSENT FORM

As an employee of Century Security (“the Company”), I understand that the use of drugs, alcohol and other controlled substances in the workplace creates a safety concern for all the employees.

In the interest of creating a safe working environment, I hereby give me consent for the company to conduct the drug and alcohol tests it considers necessary as outlined in the Drug Test Policy.

I authorize the Company to take the necessary specimens from me to test for drugs, alcohol and other controlled substances, and I authorize laboratory or medical personnel retained by the Company for these test to release the results to Century Security. I release the laboratory or medical personnel conducting the drug test, the Company, and the Company’s employees, directors, officers and successors from any liabilities, claims and causes of action, known or unknown, contingent or fixed, that may result from these and I agree not to file any lawsuits or other actions to assert a claim.

Print Name:
Signature:
Social Security:
Date:

EMPLOYEE NON-COMPETE AGREEMENT

For good consideration and as an inducement for Century Security Group to employ , the undersigned Employee hereby agrees not to directly or indirectly compete with the business of the Company and its successors and assigns during the period of employment and for a period of 2 years following termination of employment and notwithstanding the cause or reason for termination.
The term "not compete" as used herein shall mean that the Employee shall not own, manage, operate, consult or to be employee in a business substantially similar to or competitive with the present business of the Company or such other business activity in which the Company may substantially engage during the term of employment.
The Employee acknowledges that the Company shall or may in reliance of this agreement provide Employee access to trade secrets, customers and other confidential data and good will. Employee agrees to retain said information as confidential and not to use said information on his or her own behalf or disclose same to any third party.
This agreement shall be binding upon and inure to the benefit of the parties, their successors, assigns, and personal representatives.
Signed this day of
20.
Company: Century Security Group
Employee

CONSENT TO DISCLOSURE AND RELEASE FORM

he Undersigned hereby permits and consents to the release, disclosure and transmittal of any information credit re-port, criminal and civil records, and medical records to Century Security (Investigative Division).

The Undersigned further authorize to release to Century Security Consumer and Business credit reports, Law Enforce-ment and Fire Department reports, and insurance records from Agents, brokers, and insurance Companies including, but not limited to applications, proof or loss of claim and claim investigative files.

It is the intent of the Undersigned by executing this consent to comply with all the provisions of the privacy act of 1984 or any pertinent regulation thereto.

It is further expressly understood that the records obtained by Century Security pursuant to this authorization may be disclosed to others whit connection whit this investigation.

The purpose of this authorization to release from liability any person providing information to Century Security a copy , photocopy, or Facsimile of this consent
shall serve as an original.
In witness thereof, the undersigned / s hereby executes this consent on the day of, 20.
Print Name:
Driver License # or State Issued I.D. #
Social Security #
Date of birth:
Place of Birth:
Current Street Address:
City, State and Zip Code:
Previous Address:
City, State and Zip Code:
List all previous States and (or) Counties you’ve lived:
Signature:

Employee's withholding allowance certificate

Your first name and middle initial

Last name

Your social security number

Home address (number and street or rural route

City or town, state and ZIP code

Single Married Married, but without a higher single rate
Note: If married filing separately, check "Married, but without a higher single rate"

If your last name differs from that shown on your social security card, check here. You must call 800-772-1213 for a replacement card

Total number of allowances you're claiming (from, the applicable worksheet on the following pages

Additional amount, if any, you want withheld from heach paycheck

I clam exemption from withholding f0r 2019, and I certify that I meet both of the following conditions for exemption.
Last year i had a right to a refund of all federal income tax withhrld because I expet to havo no tax liability, and this year I expect a refund of all federal income tax withheld because I expet to have no tax liability.
If you meet both conditions, write "Exempt" here

Under penalties of perjury, I declare that I have examines this certificated and, to the best of my knowledge and bellet, it is true, correct, and complete.
Employee's signature (This form is not valid unless you sign it.)

Date

Employer's name and adress

First date of employment

Employer Identification number (EIN)

By uploading you driver license and social security card your are confirming and attesting that everything is true and correct.

Driver license or Social security card
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