Centennial Protection Group
Employment Application
Centennial Protection Group, LLC does not discriminate in employment opportunities or practices because of race, color, religion, gender, gender identity, national origin, age, sexual orientation, or disability.
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Address: Street Number and Name *
Name and Number Only
Your answer
City *
Your answer
State *
Your answer
Postal Zip Code *
Your answer
How long at current address? *
Your answer
Cell/Phone Number *
Your answer
Email Address *
Your answer
Positions Applied for *
Required
Are you at least 21 years of age? *
Salary Desired *
$/hour
Your answer
Can you work over nights? *
Example: Midnight shift
Can you work holidays? *
Can you work nights? *
Example: 2-10 pm
Required
How many hours can you work weekly? *
Your answer
Days Available to Work? *
Check all that apply. This is to indicate when you CAN work.
Required
Have you been employed or contracted by Centennial Protection Group? *
If employed or contracted previously, what location? *
Your answer
Employment desired? *
When can you start employment? *
MM
/
DD
/
YYYY
Are you legally eligible for employment in the United States? *
Certifications CURRENTLY held? *
Required
If you have a MD Handgun Permit...How long?
You must be accurate and NOT guess
High School Name? *
Your answer
High School Location? *
City and State
Your answer
High School # of Years Completed? *
Your answer
Degree Achieved *
College Name? *
Indicate NONE if no college.
Your answer
College Location? *
Indicate NONE if no college.
Your answer
College # of years completed? *
Indicate NONE if no college.
Your answer
College degree achieved? *
Indicate NONE if no college.
Your answer
Other schools attended? *
Business, Trade, Professional (list dates attended)
Your answer
Have you ever been convicted of a crime? *
Anywhere including Military
Explain conviction below. *
List date, location (city and state), type of crime, nature of offense, sentence imposed. ALL REQUIRED
Your answer
Are you able to perform the essential job functions of the position with or without reasonable accommodation? *
If you are applying for a position that requires you to drive on duty, do you have a valid driver's license? *
If applying for non- driving positions, Free transportation between public transportation and job location may be provided at certain locations.
Driver's License Number, State, and Class
Only required for positions requiring a valid driver's license.
Your answer
Driver's License Expiration Date?
Only required for positions requiring a valid driver's license.
Your answer
How many current points on driver's license?
Only required for positions requiring a valid driver's license.
Your answer
Have you had any moving violations during the past 5 years?
Only required for positions requiring a valid driver's license.
Explain all moving violations in the last 5 years.
List dates and violations. If none, respond NONE. Only required for positions requiring a valid driver's license.
Your answer
Have you had any accidents in the last 5 years?
Only required for positions requiring a valid driver's license.
Explain all accidents in last 5 years?
Include dates and if you were at fault or not at fault. If none, respond NONE. Only required for positions requiring a valid driver's license.
Your answer
List Reference #1 *
NOT relative or Previous Employer- Name-Relationship-Position-Company-Address-Cell Number
Your answer
List Reference #2 *
Not relative or Previous Employer-Name-Relationship-Position-Company-Address-Cell Number
Your answer
Please summarize any additional information necessary to describe your qualifications and why you fit in this position. *
Your answer
Have you been in the Armed Forces? *
Military Branch and Dates of Service
Your answer
Military Rank Achieved?
Your answer
Military MOS?
Your answer
Are you a RETIRED Police Officer in GOOD STANDINGS? *
Not including corrections officer
Are you a current Police Officer? *
Not including corrections officer
Are you currently in the military, military reserves, or National Guard? *
Current Employer? *
If not currently employed, list "NOT EMPLOYED". List name, address, job title, supervisor name, phone number, dates of service, current salary. MUST INCLUDE ALL information.
Your answer
Previous Employer #1 in the last 5 years? *
If never employed, list "NONE". List name, address, job title, supervisor name, phone number, dates of service, ending salary, and reason for leaving. MUST INCLUDE ALL information. Your employers will be contacted.
Your answer
Previous Employer #2 in the last 5 years? *
If never employed, list "NONE". List name, address, job title, supervisor name, phone number, dates of service, ending salary, and reason for leaving. MUST INCLUDE ALL information. Your employers will be contacted.
Your answer
Additional Previous Employers in the last 5 years? *
If no additional previous employers list "NONE". List name, address, job title, supervisor name, phone number, dates of service, ending salary, and reason for leaving. MUST INCLUDE ALL information. Your employers will be contacted.
Your answer
How did you learn about Centennial Protection Group? *
Required
May we contact your current and previous employers? *
Did you complete this application yourself? *
In exchange for the consideration of my job application by Centennial Protection Group, LLC (hereinafter called “the Company”), I agree that:Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of the Company, or otherwise to change in any respect the at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President of the Company. I understand that the Company may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, pay, policies and procedures and such changes may include reduction in benefits. I understand that I may be scheduled or assigned to assignments, locations or shifts, at the sole discretion of the Company, which is in the best interest of the Client and the Company, and will receive pay provided for in the budget for that particular assignment, location or shift. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contact.I understand that I am solely responsible for any damages to the Company/Client property, equipment or vehicles and will be required to reimburse the Company for any and all damages found to be caused by my negligent actions and/or behavior.I fully understand that if I am hired by the Company I shall serve a probationary period of 6 months, and further, that at any time during the probationary period or thereafter, my employment relation with the Company is considered at will and I may be terminated from employment for any reason. I authorize and understand that the Company will at times, during my employment, review my current driving record and criminal background to ensure compliance with licensing requirements, company policies or procedures. *
Polygraph Statement- UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100. *
I understand that typing my FIRST, MIDDLE and LAST name below constitutes a legal signature confirming that I acknowledge and agree to the above application. If you DO NOT AGREE to the above application, DO NOT type your name and type "I DO NOT AGREE." *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Centennial Protection Group, LLC. Report Abuse - Terms of Service - Additional Terms
Google Forms