Employment

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Marital Status Single Married Divorced Widowed

Gender Male Female

Do you own a motor vehicle? Yes No

Do you have a valid Driver's Licence? Yes No

How do you get work?

Bus    Bicycle    Car    Walk    Other

Do you have any reason [church, school, etc.] which would prevent you from working rotating shifts, to include weekends, nights and holidays?

Yes No

Have you ever been charged, indicted or convicted of any offence under the laws of Jamaica or any other country?

Yes No

Have you ever been registered or employed as a security officer or security trainer in Jamaica or any other country?

Yes No

Have you any military or paramilitary training/experience?

Yes No

Training Type

Private Security Industry    Military    Police    Correctional Services    Other

Area of Training

Weapons    Canine    Self-Defence    Private Investigation    Other   

Are you currently a member of the Jamaica Constabulary Force or the Jamaica Defence Force?

Yes No

Do you have/own a?

Firearm    Licence    Permit    Certificate   

Yes No

Do you have any physical condition which would prevent you from standing for prolonged periods of time?

Yes No

Asthma

Yes No

Alcoholism

Yes No

Drug Abuse

Yes No

Epilepsy

Yes No

Hepatitis B

Yes No

High Blood Pressure

Yes No

Low Blood Pressure

Yes No

Mental Illness

Yes No

Mental Illness

Yes No

Poor Hearing

Yes No

Sickle-Cell Anemia

Yes No

I certify that the information recorded herein on this form is true, complete and correct to the best of my knowledge and belief. I understand that any misrepresentation on this form may lead to the cancellation of consideration for employment. I also agree to allow EliteGuard Ltd., or its agents to verify my background and character by whatever means.