Applying For Guardus,Inc. SECTION ONE: PERSONAL INFORMATION Employees of Virginia Metro Protective Services and applicants for employment shall be afforded equal opportunity in all aspects of employment without regard to race, color, religion, political affiliation, national origin, disability, gender, or age.1. Name* First Name Last Name 2. Position Applying For: Security Guard Patrol Officer 3. Availability* Select All Monday Tuesday Wednesday Thursday Friday Saturday Sunday 3. Times AvailableEarliest time I can start my shift:* : Hours Minutes Latest time my shift can end:* : Hours Minutes 5. Available to start on:MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119206. Date of Birth:MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Home #:Work #:Mobile #:Email Current Address (Include street, city, state, and zip code):How long at present address?8. Do you have a valid drivers license? Yes No 9. Do you have reliable transportation? Yes No 10. Have you been convicted of a crime in the past, excluding summary traffic offenses, which has not been annulled, expunged, or sealed by a court? Yes No If Yes, please explain in full:Date of conviction:MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear2026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192011. For the purpose of compliance with the United States Immigration and Nationalization Act, and Section 40.1-11.1 of the Code of Virginia, are you legally eligible for employment in the United States? Yes No SECTION TWO: PERSONAL HISTORY12. Are currently using any illegal drugs or substances? Yes No If Yes, please explain in full:13. Have you or are you currently serving in any branch of the Armed Services? Yes No If Yes, which branch:5. High School Highest grade completed:Do you have a diploma or G.E.D? Yes No 6. College and/or Vocational School School(s):Highest grade completed:Diploma: Yes No Degree:7. Security/Law Enforcement AcademiesSchool(s):City:State:Zip Code:17. Are you currently certified? Yes No State of Virginia DCJS Certified Unarmed Yes No Is Certification Current? Yes No State of Virginia DCJS Armed Certified Yes No Is certification Current? Yes No Other Certifications Yes No Certificate name18. Why do you think you would be a good fit for Guardus Security?SECTION THREE: WORKING HISTORYWorking History*Company NameRole titlePeriodRole description CERTIFICATION I hereby certify that all entries are true and complete, and I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part to any employment in the service of Guardus Security Services. I understand that all information on this questionnaire is subject to verification. I further authorize Guardus Security Services to rely upon and use, as it sees fit, any information received from such contacts. Information contained on this application may be disseminated to other agencies, nongovernmental organizations or systems on a need-to-know basis for good cause shown as determined by the agency head or designee.NumberPhoneThis field is for validation purposes and should be left unchanged. Δ
