Capital Investigations and Security Services, Inc. -

Application for Employment

Last Name

First Name

Middle Name

Maiden Name

Street Address

City

State

Zip Code

Home Phone

Cell Phone

Fax

Email Address

Position Applied For:
Security Enforcement OfficerPrivate Investigator (MN State license required)

Do you have a valid driver's license?
YesNo

Have you ever worked for Capital Investigations before?
YesNo

Have you ever filed an application or sent a resume to Capital Investigations?
YesNo

Are you related to anyone already employed by Capital Investigations?
YesNo

If yes, please list name(s)

I am available to work (please check all that apply):
 Full-Time Part-Time Weekdays Weekends 1st Shift 2nd Shift 3rd Shift

Are you at least 18 years old?
YesNo

Are you legally eligible to work in the United States?
YesNo

If so, will you be prepared to produce proof at the time of hire, in accordance with the Immigration Reform and Control Act of 1986?
YesNo

Have you ever been convicted of a felony?
{Under Minnesota law, a felony criminal conviction prohibits us from employing you.)
YesNo

Have you ever been convicted of a misdemeanor?
{Under Minnesota law, we’re required to conduct criminal background checks on all of our employees.}
YesNo

If so, explain:

Has your driver’s license ever been revoked?
YesNo

If so, explain:

Have you ever served in the U.S. military services?
YesNo

If yes, please list branch, rank & duties:

As related to the position applied for, what languages do you speak, read, and/or write?

English
 Speak Read Write
Degree of Fluency %

 Speak Read Write
Degree of Fluency %

 Speak Read Write
Degree of Fluency %

What professional organizations, business activities, or volunteer activities are/have you been involved with, relevant to your ability to perform the job for which you are applying?

Employment History

Current or most recent employer

Phone Number

Position(s)

Immediate Supervisor/Title

Address

Starting Wage
$

Final Wage
$

Dates Employed
From To

Reason for leaving

Description of primary responsibilities

Previous employer

Phone Number

Position(s)

Immediate Supervisor/Title

Address

Starting Wage
$

Final Wage
$

Dates Employed
From To

Reason for leaving

Description of primary responsibilities

Previous employer

Phone Number

Position(s)

Immediate Supervisor/Title

Address

Starting Wage
$

Final Wage
$

Dates Employed
From To

Reason for leaving

Description of primary responsibilities

Education and Training

List all schools attended, including trade, business or technical institutions, beginning with the most recent:

School Name & Location (most recent)

Years Complete, Honors Received, Diploma/Degree

Major Course of Study

School Name & Location (previous)

Years Complete, Honors Received, Diploma/Degree

Major Course of Study

School Name & Location (previous)

Years Complete, Honors Received, Diploma/Degree

Major Course of Study

Please describe any additional academic achievements or relevant extracurricular activities relative to the position for which you are applying:

Please identify any additional knowledge, skills, or qualifications that will be helpful to us in considering your application for employment:

References

Provide the name, job title, and email addresses or phone numbers of three references who are not former employers or related to you:

Name

Job Title

Email Address and/or Phone

Name

Job Title

Email Address and/or Phone

Name

Job Title

Email Address and/or Phone

Agreement

I certify that the statements made in this application are correct and complete to the best of my knowledge.
I understand that false or misleading statements may result in termination of employment.
I authorize Capital Investigations & Security Services, Inc., to conduct a reference and background check so that a hiring decision can be made. In the event that Capital is unable to verify any reference stated on this application, it is my responsibility to furnish the necessary documentation. I absolve my current and former employers from any and all liability, now or in the future, for releasing information to Capital relevant to my employment history.

May we contact your present employer?
yesno

May we contact your previous employers?
yesno

May we contact the schools you have attended for the release of your educational records?
yesno

If accepted for employment with Capital Investigations & Security Services, Inc., I agree to abide by all of its policies and procedures. If employed, I understand that I may terminate my employment at any time without notice or cause, and that the Employer may terminate or modify the employment relationship at any time without prior notice or cause. In consideration of my employment, I agree to conform to the rules and regulations of the Employer, and I understand that no representatives of the Employer, other than the President or General Manager, has any authority to enter into any agreement, oral or written, for employment for any specified period of time or to make any agreement or assurances contrary to this policy. If employed, I understand that my employment is for no definite period of time, and if terminated, the Employer is liable only for wages and benefits earned as of the date of termination. I agree to have my photograph taken for purposes of identification if hired.

Digital Signature

Today's Date