Apply for Employment

Employment Application

Please complete the form below in full to apply for a position with us.

Please fill in the form as completely as possible, fields marked with a red asterisk are required.
Contact Information
First Name
Middle Name
Last Name
Street Address
Street Address Line 2
City
State
Zip Code
Email address
Phone Number
Upload Resume
Identifying Information
Date of Birth
Social Security Number
Drivers License Number
Drivers License State
I am a Citizen or otherwise authorized to work in the United States of American on an unrestricted basis
Yes
No
If applicable, please list your visa type, visa Number and exipiration
Position and Availablity
Applying for Position
Start Date
Act 235 / Act 120 Certification
Do you have the Pennsylvania Act 235 or Act 120 Certifications?
Yes
No
If you answered yes, what is your Act 235 and/or Act 120 numbers?
Languages
Do you speak any languages aside from English?
Yes
No
If you answered yes, which ones and how well?
Criminal and Military History
Have you ever been convicted, plead guilty or no lo contendere to a felony or misdemeanor?
Yes
No
If you answered yes, please explain
Military Service
Have you ever been in the military?
Yes
No
If yes, which branch of service?
Rank at time of separation
Date Entered Service
Date Separated
Special Honors
Employment History
Employer
Street Address
Street Address Line 2
City
State
Zip Code
Your Position
Salary
Supervisor Name & Title
May we contact?
Yes
Employment Started
Employment Ended
Duties
Reason for leaving
Employer
Street Address
Street Address Line 2
City
State
Zip Code
Your Position
Salary
Supervisor Name & Title
May we contact?
Yes
Employment Started
Employment Ended
Duties
Reason for leaving
Employer
Street Address
Street Address Line 2
City
State
Zip Code
Your Position
Salary
Supervisor Name & Title
May we contact?
Yes
Employment Started
Employment Ended
Duties
Reason for leaving
Employer
Street Address
Street Address Line 2
City
State
Zip Code
Your Position
Salary
Supervisor Name & Title
May we contact?
Yes
Employment Started
Employment Ended
Duties
Reason for leaving
Employer
Street Address
Street Address Line 2
City
State
Zip Code
Your Position
Salary
Supervisor Name & Title
May we contact?
Yes
Employment Started
Employment Ended
Duties
Reason for leaving
Education
High School
High School
Street Address
Street Address Line 2
City
State
Zip Code
Year Started
Final Year
Did you graduate?
Yes
If you did not graduate, did you receive your GED?
Yes
Special Honors or awards
College or University
College or University
Street Address
Street Address Line 2
City
State
Zip Code
Year Started
Final Year
Did you graduate?
Yes
Degree
Major
Special Honors or awards
College or University
Street Address
Street Address Line 2
City
State
Zip Code
Year Started
Final Year
Did you graduate?
Yes
Degree
Major
Special Honors or awards
Position Specifications
How did you hear about this position or our company?
What Hours/Days are you willing to work?
Would you be able to work weekends?
Yes
No
Desired Salary
Please describe any skills you have in the following areas: Computers, Firearms, Baton, Defensive Tactics, Driver Certifications, EMT, CDL Licenses, Boating License, Narcotics Investigations, Interview Techniques, or ANY other advanced training.
I hereby certify that my answers and assertions set forth in this application are true and complete to the best of my knowledge. If I am employed, I understand that any false statements on this application shall be considered sufficient cause for my dismissal. I hereby authorize this company to investigate any aspect of my prior educational and employment history. Furthermore I understand that if I am hired, employment with this company is "at will," which means that either the company or I can terminate my employment for any reason not prohibited by state or federal law.
I agree
Type your full name to digitally sign this application.