METROPOLITAN PROTECTIVE SERVICES, INC Forbes Boulevard, Suite 440, Lanham, MD Telephone: (301) Fax: (240)
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1 METROPOLITAN PROTECTIVE SERVICES, INC Forbes Boulevard, Suite 440, Lanham, MD Telephone: (301) Fax: (240) EMPLOYMENT APPLICATION APPLICANT INFORMATION Last Name First M.I. Date Street Apartment/Unit # City State ZIP Date Available Social Security No. Desired Salary Position Applied for Are you a citizen of the United States? YES NO If no, are you authorized to work in the U.S.? YES NO Have you ever worked for this company? YES NO If so, when? Have you ever been convicted of a felony? YES NO If yes, explain EDUCATION High School College Other REFERENCES Please list three professional references.
2 PREVIOUS EMPLOYMENT MILITARY SERVICE Branch From To Rank at Discharge Type of Discharge If other than honorable, explain EMPLOYMENT QUESTIONNAIRE Yes/No answers Are you 21 years of age or older? Do you have a valid driver s license? If offered employment, Applicant must provide proof that s/he has a valid driver s license and submit a current copy of their driving record (dated after their application date). Can you successfully pass a drug test? Can you successfully pass a background check?
3 EMPLOYMENT QUESTIONNAIRE Yes/No answers Can you comply with Metropolitan Protective Services, Inc. grooming standards if selected for a position? Can you work shift work? Can you work unscheduled overtime? Would you have a problem taking orders from a manager or supervisor? Have you ever been arrested or charged with a crime? Yes ( ) No ( ) Do you have any physical ailments or injuries that would hinder you in the performance of your duties? Yes ( ) No ( ) Can you work any shift? Yes ( ) No ( ) If no, please explain: Have you ever been reassigned from any job to avoid corrective or disciplinary action (s)? Yes ( ) No ( )
4 Have you ever been terminated from a job? Yes ( ) No ( ) Within the past 5 years have you received any speeding tickets or moving violations? Yes ( ) No ( ) Has your license ever been suspended or revoked for any reason? Yes ( ) No ( ) Have you ever been investigated by any law enforcement agency? Yes ( ) No ( ) DISCLAIMER AND SIGNATURE I hereby certify that the information contained in the employment application I submit to Metropolitan Protective Services, Inc. (MPSI) is true and complete to the best of my knowledge. I understand that material omissions or falsification of this application in any detail may result in my disqualification from consideration for employment or for dismissal from employment. I also understand that my employment is subject to a satisfactory check of references. I give MPSI the right to investigate the information given and to secure additional information if necessary. I authorize my previous employers, educational institutions and all other individuals and organizations listed in this application form to give information about my employment, work habits and character. I agree that MPSI and my previous employers, educational institutions and all other individuals and organizations listed in this application will not be held liable in any respect if an employment offer is not made, is withdrawn, or my employment is terminated because of misrepresentations or omission of requested information. I understand that upon offer and acceptance of a position with MPSI I will be required to immediately furnish documentation establishing my identity and eligibility to be legally employed in the United States. I understand that MPSI is in no way obligated to provide employment and also that I am in no way obligated to accept employment, if offered. This application does not bind either party, and the statements contained herein do not constitute and should not be interpreted to constitute any sort of contract of employment for a specific period of time. MPSI is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, genetic information, or veteran status.
5 Print Name Signature Date Please your completed application along with your resume to:
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