Landmark Protective Services
211 S State Highway 342
Red Oak, TX 75154-6419
Phone: (469) 218-8170
Fax: (469) 218-8173

info@landmarkprotective.com

Pre-Employment Application

(review privacy policy)

Landmark Protective Services is an equal opportunity employer. All applicants are considered for employment without regard to race, religion, gender, national origin, color, age, marital or veteran status, the presence of a non-job-related medical condition or physical handicap, or any other status protected by federal or state law.

Please fill out the entire application. Be honest and thoroughly explain answers. Upon completing the application click Submit Application. Your application will be emailed to our office, and our hiring manager will contact you as soon as possible.

Your Information

First Name *	Middle Initial
Last Name *
Address 1 *
Address 2 / Apt. #
City *
State *	Select One: Not listed Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming
Zip Code *
Phone *
E-mail address *
How long at this address?	Years Months
If less than 3 years, list full previous address
Dates	to

Employment

Date Available to work
Desired Rate of pay
Position desired
Hours	Full time Yes No | Part Time Yes No
Are there any days or times of the day or week that you are unable to work? If yes, please identify:	Yes No
OVER 21 YEARS OF AGE?	Yes No
Are you willing to relocate?	Yes No
Have you ever been convicted of a crime? If yes, please describe (a conviction does not necessarily preclude employment with Landmark Protective Services):	Yes No
What source referred you to us?	Select One: Search Engine (i.e. Google, Yahoo, Bing...) Link From Another Website Business Colleague or Acquaintance Newspaper / Advertising City or State Employment Agency Landmark Protective Services Employee Landmark Protective Services Customer Other (if other )
Have you ever worked for Landmark Protective Services? If Yes, Date of Service and Position Location	Yes No
Do you have any friends or relatives working for Landmark Protective Services? If so, please list:	Yes No

U.S. Military Service

Service Branch
Final Route or Ratio:
Length of Service:
Area of Specialization:

Employment History

Most Recent Employer
Employer complete address
Phone
Dates Employed (mm / yy)	From to
Position Held / Rate of Pay	Postion Rate
Duties
Reason for Leaving
Name of Supervisor
May we contact this employer? If no, please explain:	Yes No
Previous Employer
Employer complete address
Phone
Dates Employed (mm / yy)	From to
Position Held / Rate of Pay	Postion Rate
Duties
Reason for Leaving
Name of Supervisor
May we contact this employer? If no, please explain:	Yes No
Previous Employer
Employer complete address
Phone
Dates Employed (mm / yy)	From to
Position Held / Rate of Pay	Postion Rate
Duties
Reason for Leaving
Name of Supervisor
May we contact this employer? If no, please explain:	Yes No

Education

Check number of years completed High School	1 2 3 4
High School Name
High School Location
Did you graduate?	Yes No
GED, Diploma
Check number of years completed College	1 2 3 4
College Name
College Location
Did you graduate?	Yes No
Degree
Other Name
Other Location
Did you graduate?	Yes No
Degree

References

List name and telephone number of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.
Name
Title
Relationship to you
Telephone
Number of years known
Name
Title
Relationship to you
Telephone
Number of years known
Name
Title
Relationship to you
Telephone
Number of years known

Language Spoken

Language
Speak:	Slight Fair Fluent
Read:	Slight Fair Fluent
Write:	Slight Fair Fluent
Language
Speak:	Slight Fair Fluent
Read:	Slight Fair Fluent
Write:	Slight Fair Fluent
Language
Speak:	Slight Fair Fluent
Read:	Slight Fair Fluent
Write:	Slight Fair Fluent

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