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Job Application

Name *

First

Middle

Last

Social Security Number

Email *

Email

Confirm Email

Phone Number *

Street Address *

Line 1

Street Address 2

Line 2

City *

State *

Zip Code *

Did anyone recommend you for this position? *

Type the name of the person who recommended you, if no one please type N/A.

Are you a Veteran? *

Yes
No

If Yes, What Branch did you serve?

Sex? *

DOB: *

Height? *

Weight? *

Ethnicity?

*Optional

Do you have a reliable form of transportation? *

Do you have the ability to effectively speak, read, and write English? *

Yes
No

What is your highest level of education? *

Which Licenses and Certifications do you have? *

Driver's License
Security Guard Card
Firearm Permit - Expose
CCW - Concealed Carry Permit
Baton
Chemical Spray
First Aid Certification
CPR Certification
AED

Check all that apply to you

Are you able to perform the essential function of the job for which you are applying with or without reasonable accommodations?

Yes
No

If you answer is no, please explain why not? *

if you previous answer was yes, type N/A

Name of most recent former/current Employer? *

Phone number *

Former Employer 1 - phone number

Name of Former Employer 2 *

Phone Number *

Former Employer 2 - phone number

Name of Former Employer 3 *

Phone Number *

Former Employer 3 - phone number

Name of Personal Reference 1 *

First

Middle

Last

Phone Number *

Reference 1 - phone number

Name of Personal Reference 2 *

First

Middle

Last

Phone Number *

Reference 2 - phone number

Name of Personal Reference 3 *

First

Middle

Last

Phone Number *

Reference 3 - phone number

Are you a citizen of the United States of America? *

Yes
No
No, but I am authorized to work in U.S.A.

How soon can you start working with Brapga Security? *

Describe your experience as Security Officer? *

640 s. sunset Ave suite 209A
West Covina, CA 91790

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640 s. sunset Ave suite 209A West Covina, CA 91790

640 s. sunset Ave suite 209A
West Covina, CA 91790