McRoberts Protective Agency, Inc.
Employment Application
An Equal Opportunity Employer

If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: jobs@mcroberts1876.com.

PERSONAL INFORMATION
Last Name
First Name & Middle Initial
Street Address
City
State
Zip Code
Telephone #
Social Security #
Fax #
E-Mail Address

Valid Drivers License? YesNo
If Yes # Number And State

QUALIFIERS

Are You At Least 18 Years Of Age ? YesNo
Are you either a U.S. citizen or an alien who has legal right to work in the job for which you are applying ?YesNo
Have you ever been convicted of a crime that has not been expunged or sealed ? YesNo
(California Only - may exclude a marijuana related conviction thaat is more than (2) years old.)

Are you registered/licensed as a security officer in this state ? (where applicable) YesNo
If yes, give registraton/license number and expiration date
If you are already registered/licensed as a security officer i this state, has your registration/license been revoked or suspended ? YesNo
if yes state reason(s), date of suspension or revocation, and date of reinstatement below.

EMPLOYMENT DESIRED

Position applying for:
Full time Part time Temporary
Minimum salary required

OTHER INFORMATION

Have you ever applied to, or worked for McRoberts before ? YesNo
If yes, when ?
What was the reason for leaving ?
Do you speak, read, or understand any languages other than english which would aid you in the performance of your work duties ? YesNo
If yes, which languages
Do you have any other experience, training , qualifications or skills which you feel make you especially suited for work at McRoberts Protective Agency, Inc.?YesNo
If so, explain by entering information below

Describe your duties and responsibilities at your last job

Are you reachable by phone ? YesNo Are you reachable by beeper ? YesNo

MILITARY EXPERIENCE

Have your ever served as a member of the armed forces ? YesNo
If yes, What Branch ?
Rank at separation :
Type of Discharge ?
Assignment:
Have you obtained any special skills or abilities as a result of your services in the military ?

EMPLOYMENT HISTORY -You must complete this section completely, even if attaching a resume.

List below all present and past employment,starting with the most recent employer (go back 5 years).

Name of Employer :
Address
Position
Dates of Employment (From/To)
Pay Rate
Duties/Responsibilities

Reason for Leaving:

Supervisor's Name
Telephone:
Fax:

EDUCATION HISTORY
[A] List last three (3) schools attended, starting with most recent [B] List number of years completed [C] Indicate degree or diploma earned, if any [D] Grade Point Average or Class Rank [E] Major field of study [F] Minor field of study (if applicable)

Educational Institute #1

Educational Institute #2

Educational Institute #3

PLEASE READ CAREFULLY - Initial Each Paragraph And Sign Below

I have read and fully understand the questions asked in this application. I certify that all answers given by me are true, accurate and complete. I also understand that the omission and/or misrepresentation of any fact from this applicaton or during any interview for employment will be cause for immediate dismissal. I authorize McRoberts Protective Agency, Inc., to contact all my employment references, and to inquire about, investigate and obtain copies of any records which relate to me for my former employers and educational institutions I have attended. I hereby release McRoberts Protective Agency, Inc., and all affiliated entitties, as well as any person or institution that provided mcRoberts Protective Agency, Inc., with any information about me, from any and all liability whatsoever resulting from any such inquiry, investigation or communication

I agree YesNo Please print this form and initial here X_________________________________

If hired, I agree to abide by all of the rules and regulations of McRoberts Protective Agency, Inc. I understand and agree that nothing in this application shall constitute a contract or a guarantee of employment for a specific period of time. I also understand that if employed, my employment may be terminated with or without cause, subject to the terms of the collectivebargaining agreement, if applicable, and with or without notice at any time, at the will of either McRoberts Protective Agency, Inc., or me. I further understand that no representative or agent of McRoberts Protective Agency, Inc., other than the President or a Vice President has the authority to enter into an agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing unless the agreement is in writing. In addition, I understand that McRoberts Protective Agency, Inc., and all plan administrators shall hav ethe amximum discretion permitted by law to administer , interpret , modify , discontinue , enhance or otherwise change all policies , procedures , benefits or toher terms and conditions of employment. I understand that a physical examination and drug/alcohol test may be required to verify my fitness for work after a job offer is extended but prior to beginning work. Any offer of employment is conditioned on my successfully completing the post-offer, pre-employment physical and drug/alcohol test. Any offer of employment is subject to withdrawal for failure to meet this condition.

I agree YesNo Please print this form and initial here X_________________________________

I hereby agree, as a condition of employment, unless provided otherwise by a collective bargaining agreement, to complete a binding arbitration agreement. (Please Print and Fax This Form To 212-425-2509)

Name:

McRoberts Protective Agency, Inc. Employment Application An Equal Opportunity Employer

McRoberts Protective Agency, Inc.
Employment Application
An Equal Opportunity Employer