Job Application - Dillard Alarm Company

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Employment with Dillard Alarm Company is based on qualifications and suitability for the position. Applicants will not be discriminated against on the basis of race, creed, color, religion, sex, national origin, age, marital status, or disability. To help us learn about your experience, abilities, and education, please complete this employment application as thoroughly as possible. Applicants with disabilities are encouraged to request any accommodation needed to complete the job application process.

Personal

Name(Required)

First Middle Last

Other Names Used

Date of Birth(Required)

Present Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone Number(Required)

Email(Required)

Are you legally eligible for employment in the U.S.?(Required)

Yes

Are you over 18 years of age?(Required)

Yes

Do you have a valid Driver's License?(Required)

Yes

Position Desired(Required)

Technician

Administrative

Rate of pay desired(Required)

per hour

Are you looking to work:

full-time

part-time

Have you ever applied for employment with Dillard Alarm Company?

Yes

Please select any of the following that apply:

I have been bonded

I have been refused a bond by a surety company

I have had a bond denied or revoked

A surety company has paid out funds on my coverage

I have been convicted of a criminal offense

If any of these apply please email details to [email protected]. (You may omit: (a) any offense committed before your 18th birthday which was finally adjudicated in a juvenile court or under a Youth Offender law, (b) any conviction, the record of which has been expunged under federal or state law, and (c) any conviction set aside under the Federal Youth Corrections Act or state authority.)

Employment

List in order, with most recent or present employer first, the jobs you have held for the past 10 years.

How many jobs have you had in the last 10 years?

1

Business

Supervisor:

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Date of Hire

Salary at Start:

Date of Departure

Salary at departure:

Title of position and duties performed

Reason for leaving:

2

Business

Supervisor:

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Date of Hire

Salary at Start:

Date of Departure

Salary at departure:

Title of position and duties performed

Reason for leaving:

3

Business

Supervisor:

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Date of Hire

Salary at Start:

Date of Departure

Salary at departure:

Title of position and duties performed

Reason for leaving:

4

Business

Supervisor:

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Date of Hire

Salary at Start:

Date of Departure

Salary at departure:

Title of position and duties performed

Reason for leaving:

5

Business

Supervisor:

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Date of Hire

Salary at Start:

Date of Departure

Salary at departure:

Title of position and duties performed

Reason for leaving:

May we contact the employer(s) listed above?(Required)

Yes

indicate below any job you do not wish us to contact:

Experience

Security or fire-related registrations or courses you have completed:

Private Security Registration

Level I Training

Level II Training

Fire Courses

Electrical Skills

Wiring

CCTV

Alarm Systems

Intercoms

Programing

Computer Skills:

Yes

Please specify:

Typing:

Yes

Words per minute:

Other related training or experience:

Education

High School & Dates Attended:

Please select highest Grade Completed:(Required)

College(s) & Dates attended

College Degree

Yes

Professional References:

1

Name(Required)

First Last

Place of employment:(Required)

Phone(Required)

2

Name

First Last

Place of employment:

Phone

3

Name

First Last

Place of employment:

Phone

Add additional references

4

Name

First Last

Place of employment:

Phone

5

Name

First Last

Place of employment:

Phone

6

Name

First Last

Place of employment:

Phone

Consent(Required)

I agree to the following

ATTENTION: READ THE FOLLOWING PARAGRAPHS CAREFULLY BEFORE SUBMITTING. I CERTIFY that the statements made by me are true, complete, and correct to the best of my knowledge. I understand that a false or dishonest answer to any question may be grounds for cancellation of my application and my dismissal after employment. DILLARD ALARM COMPANY (DAC) is hereby authorized to make any investigation of my personal, educational and employment history. I understand that DAC may verify my educational record, secure transcripts of that record, if so desired, makes inquiries of former employers as to my job performance, request consumer reports from recognized agencies or bureaus of DAC’s choice for the purpose of evaluating my application for employment or retention as an employee. In accordance with the Fair Credit Reporting Act, I understand that should information be received from a consumer report which results in denial of employment to me, or be cause for my dismissal, I will be provided, on request, with the name and address of the consumer reporting agency. I hereby release DAC, any person, educational body, and former employer from any and all claims of whatever nature I might have as a result of a response given to inquiries made by DAC. I will voluntarily provide information requested on the attached Authorization to Release Information form for the purpose of verification of such information as is necessary to complete a background investigation of me. If accepted for employment, I agree to be fingerprinted. I have the right to request disclosure in writing of the nature and scope of any FBI fingerprint record received by DAC. If I am hired by DAC I agree, in consideration of my employment, to abide by the policies, procedures and rules, or other management communications, as may be directed to employees of DAC. I also agree and understand that my employment and compensation may be terminated at any time, with or without notice, with or without cause, by DAC. Additionally, I understand that I may resign from my position at any time. I further understand that my employment relationship will be “at will,” that I am not being hired for any specified period of time, and that no supervisor of manager of DAC other than the President, in writing and signed by him, has any authority to enter into any other agreement for employment or to make any agreement contrary to the foregoing. All employment offers are made contingent on satisfactory completion of background checks of credit, past employment and education, and approval of the surety bonding company. This application will be considered current for no longer than 1 year from the date of receipt. If I want to be considered for employment after this time, I must complete another application form. I understand that smoking of any kind is prohibited in DAC. I acknowledge that I have read and understand the above statements.

Today's Date(Required)

Name

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