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Employment Center

PERSONAL INFORMATION

First Name : *

Middle Name :

Last Name : *

Address Line 1 : *

Address Line 2 :

City : *

State : *

Zip Code : *

Phone 1 : *

Phone 2 :

Phone 3 :

Email Address : *

Birth Date : *

Are You Immediately Authorized For Unrestricted Work In The United States?* yes No

Are You Of Legal Age To Work? * yes No

Have You Ever Been Convicted Of a Criminal Offense Which Has Not Been Expunged Or Sealed By A Court? * yes No

If Yes, Set Forth The Nature And Dates Of Conviction, And Date Of Release :

JOB INTEREST

Position Desired : *

Annual Salary Or Hourly Rate Desired : *

How Were You Referred To Us?

Employment Advertisement (Please name publication):

Employment Agency (Please name agency):

Employee Referral (Please name employee):

Other (Please specify):

Date Available : *

Have You Ever Applied For Employment With WPG? * yes No IF YES, DATE?:

Available To Work : * Full Time Part Time Temporary

Can You Work Nights, Weekends, Holidays, etc? * yes No

Any Restrictions? If Yes

EDUCATION

Name of SchoolCity and StateMajor Course of StudyDegree ReceivedDates Attended (From/To)

Describe Other Job-Related Training Completed :

Activities, Honors, And Offices Held That Are Job-Related :

List any foreign languages you speak and at what level :

MILITARY EXPERIENCE

Branch of Service :

Rank :

Supervisor :

Period of Active Duty :

From :

To :

Describe your duties and any special training :

COMPLETE EMPLOYMENT HISTORY (List the 3 most recent places of employment that are security-related)

Dates of Employment :

From : *

To : *

Name, address, and telephone number of employer : *

May we contact? * yes No

Position : *

Responsibilities : *

Supervisor : *

Reason for Leaving : *

Rate of Pay : *

Dates of Employment :

From : *

To : *

Name, address, and telephone number of employer

May we contact? yes No

Position :

Responsibilities :

Supervisor :

Reason for Leaving :

Rate of Pay :

Dates of Employment :

From :

To :

Name, address, and telephone number of employer

May we contact? yes No

Position :

Responsibilities :

Supervisor :

Reason for Leaving :

Rate of Pay :

Dates of Employment :

From :

To :

Name, address, and telephone number of employer

May we contact? yes No

Position :

Responsibilities :

Supervisor :

Reason for Leaving :

Rate of Pay :

Not Employed

From :

To :

Reason :

Have you ever been involved in a lawsuit, suspended, or asked to resign from any previous employment? If yes, please provide details below.

Have you ever been involved in a lawsuit as a plaintiff, defendant, or witness? If yes, please provide details below.

List the name and phone number(s) of one co-worker from each of your last two jobs :

EmployerCo-workerHome phoneWork phone

REFERENCES

NameStreet, City, State & Zip Code TelephoneOccupationYears Known

Please add any additional information you feel might be relevant to your application:

CONDITIONS OF EMPLOYMENT

Please read the following statements carefully as they constitute conditions of employment with The World Protection Group, Inc (WPG):

1. The information that I have provided on this application is true and correct to the best of my knowledge.

2. I understand that any misrepresentation or omission of fact made on this application, on my resume, or during the interview or hiring process may result in the refusal of employment, or if employed, immediate termination from WPG.

3. The persons, schools, current and prior employment, and other organizations or employers named in this application and on the reference list provided by me, are authorized to verify the information I have provided, to provide any information they have regarding me, whether it is in their records, and to provide WPG with information that may be requested by WPG to arrive at an employment decision. I am willing that a photocopy of this authorization be accepted with the same authority as the original. I agree that neither WPG, nor the providers of information will be violating my right to privacy in any manner. I hereby waive and release all persons, schools, current and prior employers and other organizations from any liability arising from reliance on the aforementioned information or the use, publication, or retention of such information within the context of its applicant review procedures.

4. I agree to protect confidential information, trade secrets, and proprietary information of WPG , and of WPG's vendors, licensers, licensees, marketing partners, and clients, and that I will not disclose the confidential information of others to WPG.

5. Although WPG makes every effort to accommodate individual preferences, business needs may make the following conditions necessary: overtime, shift work, a rotating work schedule, a work schedule that includes Saturday and Sunday. I understand and accept these as conditions of my employment.

6. I will be able, if hired, to certify that I am immediately authorized to work in the United States of America for WPG and that in accordance with the Immigration Reform and Control Act, I will be able to provide timely documentation of identify and employment eligibility.

7. I understand that because WPG wishes to provide and maintain a safe environment in which to work, it will not employ persons who use illegal drugs and/or abuse alcohol, and that it retains the right to screen from employment such individuals. In fact, I agree and consent that I may be required to take a pre-employment drug test. Further, I agree to abide by WPG's Substance Abuse Policy, a copy of which will be provided if I am employed by WPG.

8. I agree that I will, if employed, immediately read WPG's Employee Manual and Security Officer's Manual (if applicable), and that I will conduct myself in accordance with the policies espoused in said manuals, and with all other policies, rules, or regulations of WPG throughout the period of my employment. I understand and agree that violation of any policy, rule, or regulation may result in my immediate termination.

9. I understand and agree that WPG may require that I take a physical fitness test.

10. I understand and agree that if I am employed by WPG, it will be on an at-will basis. As an at-will employee, I understand and agree that either WPG or I can terminate our employment relationship at any time for any reason, with or without advance notice and with or without cause. I understand and agree that, although over the course of my employment, other terms and conditions of my employment may change, the at-will nature of my employment will not. I understand that no one other than the President of WPG may enter into an agreement with me contrary to the foregoing and that any such contrary agreement must be in writing and signed by the President.

11. I agree that if any provision of this agreement is invalid or unenforceable, the balance of this agreement shall remain in effect.

Date : *

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