carousel_arrow cart circleCheck behance dribbble dropbox facebook flickr github googleplus instagram linkedin paypal pinterest skype soundcloud spotify twitter vimeo submitError svg-defsnull Leumas Security Services LLCDCJS 11-6590 HomeServicesAboutBlogContactHomeServicesAboutBlogContact Employment Application Full Name*Sex*MaleFemaleEmail Address*Phone*Current Address*Length of time *Landlord Name and Phone*Previous Address*HAVE YOU EVER BEEN CONVICTED OF A FELONY?*YesNoAVAILABILITY *SundayMondayTuesdayWednesdayThursdayFridaySaturday AVAILABLE FOR OVERNIGHT SHIFTS?*OTHER SKILLS/ CERTIFICATIONS (i.e., CPR, TWIC, etc.) Employment History*References (Name, Address & Phone)*Emergency Contact*AgreementI CERTIFY THAT THE INFORMATION PROVIDED ON THIS FORM IS TRUE AND ACCURATE. BY SIGNING THIS FORM, I AUTHORIZE THE POTENTIAL EMPLOYERS TO CONTACT MY PRESENT AND/OR PAST EMPLOYERS AND REFERENCES/ RELATIVES/ EMERGENCY CONTACTS, VERIFY MY INCOME,PERFORM A CREDIT CHECK AND REQUEST A CRIMINAL BACKGROUND CHECK, IF NECESSARY. I AgreeAPPLYThank you! Your message was sent successfully. Phone: 802-350-3490, Fax: 800-707-1721[email protected]11815 Fountain WaySuite #300Newport News, VA 236067400 Beaufont Springs DriveSuite #300Richmond, Virginia 23225 My Business Name
