BCES Team: Employment Application

AREAS OF EXPERTISE

Please fully complete the BCES Employment Application. If you have any problems/questions, please contact us at [email protected].

Personal Information
First Name: *
Last Name: *
Address: *
Address2:
City: *
State: *
Zip Code: *
9-digit SSN: * (no dashes, no spaces)
Phone (Home): *(ie: xxx-xxx-xxxx)
Phone (Cell): (ie: xxx-xxx-xxxx)
Employment Information
Positions Applied for: *

Please provide the hours you are available to work:

Monday: (ie: 8am - 5pm)
Tuesday: (ie: 8am - 5pm)
Wednesday: (ie: 8am - 5pm)
Thursday: (ie: 8am - 5pm)
Friday: (ie: 8am - 5pm)
Saturday: (ie: 8am - 5pm)
Sunday: (ie: 8am - 5pm)

 
Availability:* Full-Time
Part-Time
Full or Part-Time
If hired, will you be able to work overtime?
 Yes No
 

When are you available to begin work?
* (ie: mm/dd/yyyy)

 

Education
Type of School Name of School No. Years Completed Major or Degree
Do you have a drivers license?*
Yes No

If yes, please enter you DL Number and State of issue:
DL #:
State:
 

Have you had any accidents in the past 3 years?*
Yes No

If Yes, how many:

 

Have you had any moving violations in the past 3 years?*
Yes No

If Yes, how many:

 

 
Previous Employment Information
Name of Employer #1: *
Name of last supervisor: *
Dates of employment: to * (ie: mm/dd/yyyy)
Salary: to *
Complete Address: *
Phone: *
Last job title: *
Reason for Leaving (be specific):

 
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:
 
May we contact this employer:*
 Yes No
 
   
Name of Employer #2:
Name of last supervisor:
Dates of employment:
Salary:
Complete Address:
Phone:
Last job title:
Reason for Leaving (be specific):
 
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:
 
May we contact this employer:
Yes No
 
   
Name of Employer #3:
Name of last supervisor:
Dates of employment: to
Salary: to
Complete Address:
Phone:
Last job title:
Reason for Leaving (be specific):

 

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:
 

May we contact this employer:
Yes No
 
Reference Information
Please list 2 references other than relatives and previous employers
Name:
Postion:
Company:
Phone:
   
Name:
Postion:
Company:
Phone:
 
Other
Computer Applications:
 
Use this space to add any additional information necessary to describe your full qualifications for the position which you are applying:
 
Will you be able to perform the essential job functions for the position you are applying for with or without reasonable accommodation?
 Yes No
 
Have you ever been arrested?
Yes No

If yes, please explain:

 

Have you ever been convicted of a crime? (Note: A yes response does not automatically disqualify your application.)
Yes No

If yes, please explain:

 

Certification & Authorization
The above information is true and correct. I understand that the hiring process will be terminated, or in the event of my employment by BC Executive Security (BCES), I shall be subject to dismissal, if any information that I have given in this application, the background release form, in any resume or interview or any part of the hiring process is false or misleading or if I have failed to give any information herein requested, or if I have withheld relevant information, regardless of the time elapsed after discovery.

I authorize BCES to inquire into my educational, professional and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me BCES and will hold BCES and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made on the basis of such information. I further authorize BCES to obtain any credit and consumer check. I understand that that BCES will provide a separate Disclosure and Release required by law that will permit the Company to make such inquires through the services of a third party.

I understand that nothing in this employment application, the granting of an interview or my subsequent employment with BCES is intended to create an employment contract between myself and BCES under which my employment could be terminated only for cause. On the contrary I understand and agree that, if hired, my employment will be terminable at will and may be terminated by me or BCES at any time and for any reason. I understand that no person has any authority to enter into any agreement contrary to the foregoing.

If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9.