Employee Application Form


Last Name:	First Name:
Middle Name:	Gender:
Date Of Birth:	Social Security #:

Address 1:	Address 2:
City:	State:
ZIP Code:	Country:

Home Phone:	Work Phone:
Cell Phone:	Pager:
Is Smart Phone:	E-Mail:

Height:	Weight:
Hair Color:	Eye Color:

Are you licensed to carry a gun?		Yes
If yes, in which state or states are you licensed to carry a gun?

Do you have a full carry or a custodial permit?		Yes
Permit Number?

Do you have your New York State 8-hour Certificate?		Yes
Vehicle information:
Make:	Year:
Model:	Color:
Experience:
Do you have any law enforcement or other relevant experience including Police, or Military? Yes
If Yes, (please be specific). Are you currently retired or active?
What was your last or current rank?
What was your last or current command (including division or department)?
Have you received any awards or meritorious citations?
Skills & Personal Information
Do you speak any foreign languages, if so please list?
Do you own a tuxedo or other formal attire?
Do you have any special skills, not previously mentioned?
Emergency Contact:
Name:	Relationship:
Address:	Phone:
Application Form:
What type of position are you applying for today?
Availability for work:

Apply Now

Fill out and submit forms, obtain reference number, then call us to follow up and setup a job interview.