EMPLOYMENT APPLICATION Name* First Last Address* Street Address Address Line 2 City STATEAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Upload Resume With Photo HereNOTE: Must include Education and Employment history. No more than 2 pages, and no more than 5 previous employers. Please include Passport Photo.Upload Your Resume HereYou can upload these file types: jpg, gif, png, pdf. Drop files here or Accepted file types: jpg, gif, png, pdf, doc. Registration QuestionsAre you applying for a position in Virginia, Maryland, or DC?* Virginia Maryland Washington DC Do you have a Virginia DCJS Security Registration?*A current DCJS Registration is required to apply for this position. Yes No What is your DCJS#?Which Virginia position are you applying for?* Unarmed Security Officer Armed Security Officer Armed Personal Protection Specialist Private Investigator Electronic Security Technician Electronic Sale Representative K-9 Handler Bail Enforcement Agent Upload Certificates Here* Drop files here or Upload Entry Level training certificates and most recent In-Service completion forms for all courses completedCheck the Registrations you have.*NOTE: Armed Security also requires Personal Protection Specialist and Advanced Handgun. Personal Protection Specialist Advanced Handgun Close Protection TrainingCheck All Supplemental Training That Applies Executive Security International Executive Protection Institute Blue Raven Criminal Justice Academy Athena Academy Gavin De Becker C.A.S.S. Other (Attach Certificate and training outline) Upload Certificates Here* Drop files here or K-9 Handler RegistrationDo you have a Virginia K-9 Registration?* Security K-9 Handler Detector K-9 Handler Virginia DCJS InstructorAre you a DCJS Instructor?* Yes No Supplemental Firearms EndorsementsCheck All Firearm Endorsements That Apply Shotgun Patrol Rifle Maryland LicenseCheck Maryland Licenses That Apply Armed SPO (Semi Auto) Private Detective DC Special Police Officer LicenseCheck All DC Licenses That Apply Armed SPO (Semi Auto) Private Investigator CertificationsCheck All Certifications That Apply Pepper Spray Certified Baton Certified Self Defense training Medical CertificationsCheck All Medical Certifications That Apply CPR First Aid AED Tactical Casualty Care First Responder EMT B Advanced EMT Paramedic General QuestionsHave you ever been in a physical altercation before (Personal)?* Yes No Have you ever had to use force on the job before?* Yes No Are you Legally Authorized to work in the U.S.A.?* Yes No Have you ever served in the U.S Armed Forces? (Submit DD214)* Yes No Have you served in the Armed forces of another nation?* Yes No Do you have a driver’s license?* Yes No Do you have your own form of transportation (Personal Vehicle)?* Yes No Do you have any Law Enforcement experience?* Yes No Do you have a Passport?* Yes No Education* High School Diploma GED College - Check Level Optained* Some Associates Undergrad Graduate PHD Have you ever had your Driver’s license suspended?* Yes No Have you ever been convicted of a DUI/DWI?* Yes No Have you ever been the subject of a civil judgement in which you were required to pay restitution?* Yes No NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.