APPLICATION FOR EMPLOYMENT

Thank you for your interest in seeking employment with Regions Security Services, Inc. We are a “security solutions” company providing Security Officers, Technology Applications, Investigations, Consulting and other contract services.

Regions Security Services, Inc. evaluates all applicants without regard to Race, Color, Religion, Gender, National Origin, Age, Marital Status, Veteran Status, Sexual Orientation, the presence of a non-job related Handicap or any other legally protected status.

Regions Security Services, Inc. is a fully licensed, insured and professionally managed enterprise. As such, we insist on a high level of Professionalism, Appearance, Demeanor and Customer Service. We maintain a respectful and professional environment and maintain a high level of customer service and positive attitude towards all employees and clients. Your application at Regions Security Services, Inc. signals a desire to be part of our team and adhere to the standards set for a professional organization; we welcome that.

Please note that all applicants must be 18 years of age or older, graduated from High School or have possession of a GED Certificate, must have a valid Florida Identification Card at the time of employment, be legally able to work in the United States and have at least a Class "D" Security Officer License or the ability and willingness to obtain one. If not immediately selected and assigned, applications are maintained on file for three (3) months. All applications are the property of Regions Security Services, Inc. and may NOT be removed from the premises. Applicants understand, acknowledge and agree and future openings and you hereby consent to being part of that database and be considered for immediate and future employment.

Our application process has several steps to ensure we are right for each other. Please make sure you read, complete and sign all pages indicating your understanding the processes. Regions Security Services, Inc. maintains and enforces a Drug Free, Smoke Free and Violence Free environment.

Your submission of this application certifies that all information you will provide is true to the best of your knowledge. You authorize Regions Security Services, Inc. to investigate any and all statements and the application including references, employment,   education, credit and criminal history records, as permitted by law. You also understand that you must abide by all the rules and policies of the company and its clients while employed and submit this application for consideration in agreement with these terms.

SECTION 1. APPLICANT INFORMATION



Yes No




SECTION 2. Previous Address (If less than five years at present address)




SECTION 3. Phone Numbers



SECTION 4. Elegibility Information

Yes No
Yes No
Yes No if yes, when?

Yes No if yes, explain?
SECTION 5. List Security Licenses
D- G- M- Other

MB- DI- W- Other

SECTION 6. Employment Information
Full Time       Part Time       Both       Temporary


If selected, check below all days you will be available to work:
Monday       Tuesday       Wednesday       Thursday       Friday       Saturday       Sunday      
List the times you are available to work:       From To
If selected, will Regions be your primary job and income source?       Yes No
If No, Explain:
If selected, are you willing to undergo a pre-employment drug test?       Yes No
If No, Explain:
Do you have any relative working for Regions?       Yes No
If Yes, provide name(s):
SECTION 7. Education
High School Address
From To Did you graduate? Yes No Degree

College Address
From To Did you graduate? Yes No Degree

Other Address
From To Did you graduate? Yes No Degree
SECTION 8. Language Skills
Do You: Speak Read Write
English
Spanish
Other
SECTION 9. Other Skills

Have you ever served in a Military Service?       Yes No Describe:
Have you received any Law Enforcement or Security Training?       Yes No Describe:
Do you have knowledge on Weapons?       Yes No Describe:

An essential function of this job requires that you continuously lift and lower packages that may weigh up to 40 pounds. To do this function, you must be able to frequently adjust body position to bend, stoop, stand, walk, turn and pivot. In addition, you must work in an environment with variable temperatures and must be able to read words and numbers.

Can you perform these essential functions with or without reasonable accommodations?      Yes No
If No, explain:
SECTION 10. Employment History
NOTE: Applicant's complete employment history (Any Country). List present employment first.


1. Company Phone Fax
Address Supervisor
Job Title Starting Salary $ Ending Salary $
Responsibilities
From To Reason for Leaving


2. Company Phone Fax
Address Supervisor
Job Title Starting Salary $ Ending Salary $
Responsibilities
From To Reason for Leaving


3. Company Phone Fax
Address Supervisor
Job Title Starting Salary $ Ending Salary $
Responsibilities
From To Reason for Leaving


4. Company Phone Fax
Address Supervisor
Job Title Starting Salary $ Ending Salary $
Responsibilities
From To Reason for Leaving


5. Company Phone Fax
Address Supervisor
Job Title Starting Salary $ Ending Salary $
Responsibilities
From To Reason for Leaving

REMARKS: PLEASE EXPLAIN ANY ADDITIONAL INFORMATION YOU WANT TO BE CONSIDERED
Acknowledgment and Authorization Disclosure

Read the following disclaimer before submitting your application.

We value the relationship we have with our candidates and are committed to responsible information-handling practices. We take great care in safeguarding your personal information and in complying with all applicable federal and state privacy laws and our own internal standards and best practices.

We are glad you are interested in joining Regions Security Services, Inc. Please read the following statement carefully before you agree and submit this application.

Regions Security Services, Inc., in considering my application for employment, may verify the information set forth on this application and obtain additional background information relating to my background. I authorize all persons, schools, companies, corporations, credit bureaus, and law enforcement agencies to supply any information concerning my background.

I understand that Regions Security Services, Inc. has a commitment to maintain an alcohol/drug-free workplace and that Regions Security Services, Inc., unless prohibited by state law, requires a drug screening test as a part of its selection and hiring process. I understand that such drug screening will consist of the testing of a urine sample or other medically recognized test designed to detect traceable amounts of a controlled substance in my body. If after a second confirmatory test reviewed by a Medical Review Officer, it is determined my specimen contains a prohibited controlled substance or was altered or substituted, I will be disqualified from consideration for employment and any offer of employment will be withdrawn. I further understand and agree that if I am employed, I may be required to submit to alcohol/drug-testing under certain circumstances during my employment.

I certify that the information on this application is correct and I understand that any misrepresentation or omission of any information will result in my disqualification from consideration for employment or, if employed, my dismissal and/or appropriate legal proceedings.

I understand that this application is not a contract, offer, or promise of employment and that if hired, I will be able to resign at any time for any reason. Likewise, the company can terminate my employment at any time with or without cause, unless otherwise required by law. I further understand that no one other than Regions Security Services, Inc. has the authority to enter into an employment contract or agreement with me, and that my at-will employment can be changed only by a written agreement signed by an authorized executive of Regions Security Services, Inc.

I understand that Regions Security Services, Inc. does not enter into correspondence with regard to the reasons for selection of applicants.

I hereby agree that any person(s) or entity(s) who may furnish such information concerning me shall not be held liable for providing this information; and I do hereby release said person(s) and entity(s) from any and all liability which may be incurred as a result of furnishing such information.

I understand that this application for employment shall be considered active for a period of time not to exceed three (3) months and thereafter, a new application with updated information must be submitted for consideration for employment.

I have read, understand and agree to these statements.

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