(703) 333-2822 | FAX (703) 333-3453 DCJS # 88-1202 / 11-2595
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Threat Level Is "Elevated"

ONLINE APPLICATION


.:: Please fill out the form completely before submitting it. Incomplete forms will not be reviewed for further consideration.  When cutting & pasting resumes do not use the "mouse right-click", choose the EDIT menu category up top and use the cut and paste options within the menu.

EMPLOYMENT PRE-SCREENING FORM

LAST NAME: MIDDLE INITIAL:      
FIRST NAME: AGE:

DATE OF BIRTH:

SOCIAL SECURITY NUMBER:  - -  (All potential employees are subject to a background check)

EMAIL ADDRESS: FAX #: 
TEL # 1: DAY   EVENING
TEL # 2: DAY   EVENING
PHYSICAL / MAILING ADDRESS:
CITY:       STATE:                                         ZIP CODE:  -


What position(s) are you interested in? (Check all that apply)
Unarmed Security Officer    
Armed Security Officer    

Do you have any prior military experience? Yes  No

Do you have any prior private security experience? Yes  No

Do you have any prior law enforcement experience? Yes  No

Do you currently maintain a current DCJS Security Registration and Firearms Endorsement for Virginia? Yes  No

Have your own firearm / duty gear.  Yes  No

 

Qualified

   
9MM 45 Cal
.38 Cal 12 Ga
40 Cal Other
What type of employment are you seeking? 
What shift do you prefer? 
Are you willing to work extra hours outside of your normal schedule?  Yes  No
Do you have reliable transportation Yes  No
Do you possess a Virginia Concealed Carry Permit Yes  No
Are you willing to take a drug test Yes  No
When are you available to start? 
What is your desired hourly pay rate?

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