Please complete the application form below. Required fields are in red.

First   M.I. Last  
Name:
 
Street Address   City   State   Zip Code  
Address:
 
Home Phone   Work Phone Cell Phone
Contact:
 
Are you 18 years of age or older?  
Do you have two valid forms of I.D?  
(State issued I.D, Social Security card, Birth Certificate, US Passport, Alien Registration Card w/ photo, Unexpired INS Employment Authorization.)
Are you fluent in English?  
Any other languages?
Do you have reliable transportation?  
What is your availability? (check all that apply)
Have you ever been charged with a crime or arrested? (this includes traffic violations)  
If yes, list all charges and disposition:
Name Location
Present Employer:
Dates of Employment Position
 /  /  to  /  /
Salary Reason for Leaving
 
Name Location
Former Employer #1:
Dates of Employment Position
 /  /  to  /  /
Salary Reason for Leaving
 
Name Location
Former Employer #2:
Dates of Employment Position
 /  /  to  /  /
Salary Reason for Leaving
 
Name Relationship Phone #
Reference #1:    
     
Reference #2:
     
Reference #3:
Dupree Security Group, Inc. hires personnel as PART TIME AS NEEDED STAFF. Work hours vary depending on the industry. DO NOT CONSIDER THIS POSITION AS A FULL TIME JOB. Once you have completed this form, it will be reviewed for further consideration on applying for employment. A FULL CRIMINAL BACKGROUND CHECK will be done prior to any employment! If given consideration, you will be contacted by Dupree Security Group to complete the application process. PLEASE DO NOT CALL due to numerous prospects.


 
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