Able Security and Patrol New Orleans

Able Security and Patrol, LLC

4655 Michoud Blvd.

New Orleans, LA 70129

Office: 504-255-5757

Fax: 504-255-5723

send comments to:

ABLE SECURITY AND PATROL, LLC

Equal Opportunity Employer

APPLICATION FOR EMPLOYMENT

You MUST be 18 or older to apply

Personal Information

Date: mm/dd/yyyy

Name (Last Name, First)

Social Security Number

123-45-6789

Present Address

City

State

Zip Code

Permanent Address

City

State

Zip Code

Phone Number

Referred By:

Employment Desired

Position

Date You Can Start

Salary Desired

$ per hour

Are You Presently Employed

Yes No

If so, may we inquire of your present employer?

Yes No

Ever applied to this company before?

Yes No

Where?

When?

Have you ever been convicted of a crime? Yes No

If Yes explain:

Education History

Name and Location of School	Years Attended	Did You Graduate	Subjects Studied
Grammar School
High School
College
Trade, Business or Correspondence School

General Information

Subjects of special study/research work or special training/skills:
U.S. Military or Naval Service	Rank

Former Employers (List Below Last Three Employers, Starting With Last One First)

Date Month and Year	Name and Address of Employer	Salary	Position	Reason for Leaving
From
To
From
To
From
To

References: Give below names of three persons not related to you whom you have known at least one year.

Name	Address/Phone #	Business	Years Known
	Address
	Phone #
	Address
	Phone #
	Address
	Phone #

Authorization

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed, falsified statements contained on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that my result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."


Date: mm/dd/yyyy	Signature:

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