Bales Security Agency, Inc. (d/b/a Bales Security) is an equal opportunity employer. We consider applicants for positions without discrimination.
Notice: This is an on-line application that we will review for the possibility of being called in for a first interview. Please fill out all the required questions that are on this application. We will call you if interested in conducting an interview for employment.
BEFORE CONTINUING, YOU MUST HAVE A STATE OF FLORIDA D LICENSE SECURITY OFFICER CARD.
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| 1. Full Name |
| Last Name: |
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| First Name: |
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| Middle Name: |
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| 2. Other - List all other names you have used including circumstances and time periods you used them. (For example: maiden name, former name(s), alias(s), or nickname(s)). |
| Former Name 1: |
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| Circumstance: |
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| Date From: |
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| Former Name 2: |
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| Circumstance: |
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| Former Name 3: |
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| Circumstance: |
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| 3. Place of Birth |
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| State: |
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| Country: |
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| 4. State Security License |
| Security License Number |
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| Security License State |
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| Security License Expiration Date |
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| 5. Applicant's Current Address |
| Address: |
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| City: |
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| Home Phone Number: |
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| Business Phone Number: |
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| Cell Phone Number: |
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| 6. Please provide e-mail address if you wish so that we may correspond with you electronically and if hired, newsletters. |
| Email Address: |
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| 7. Can you travel if job requires it? |
| Check here for yes: |
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| 8. Were you ever rejected for any Civil Service position? |
| Check here for yes: |
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| Position Agency 1: |
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| Position Reason 1: |
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| Position Agency 2: |
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| Position Reason 2: |
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| 9. Have you ever submitted an application for employment with a security agency? |
| Check here for yes: |
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| Date 1: |
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| Position 1: |
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| Date 2: |
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| Position 2: |
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| 10. Have you ever been employed by Bales Security before? |
| Check here for yes: |
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| If yes, give position(s)/title(s): |
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| 11. Indicate any foreign languages that you can: |
| Speak: |
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| Read: |
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| Write: |
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| 12. Education/Training: |
| Indicate any law enforcement education/training: |
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| Did you recevice a certifcate for this training? |
Check here for yes
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| Certification Number Agency: |
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| Certification Type: |
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| 13. Describe any special skills you posses and equipment you have, which may be related to Security work. (i.e.: two-way radio communications, firearms, and computers): |
| Special Skills: |
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| 14. Availability |
| Sunday: |
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| Monday: |
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| Tuesday: |
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| Wednesday: |
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| Thursday: |
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| Friday: |
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| Saturday: |
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| Employment History |
| 1. Have you ever been dismissed or asked to resign or had any disciplinary action taken against you from any employment or position you have held? |
Check here for yes
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| 2. Have you resigned or left a job by mutual agreement following allegations of misconduct or unsatisfactory job performance? |
Check here for yes
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| List chronologically all employment (beginning with present employment), including summer and part-time employment while attending school. All time must be accounted for; if unemployed for a period, set forth dates of unemployment. |
| Past Employment |
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| Past Employment |
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| Past Employment |
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| Past Employment |
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| Past Employment |
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| Past Residence - Actual places of residence the past 10 years- list chronologically all addresses, including residences while at school and in the military. For college campus residences, give dormitory name, city, and state. If residences in the military service cannot be shown as street addresses, provide complete military unit designation and location by city and state. |
| Past Residence Date From |
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| Date To |
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| Apartment Number |
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| Address |
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| Past Residence Date From |
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| Past Residence Date From |
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| Past Residence Date From |
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| Past Residence Date From |
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| Driving History |
| Licensed In FL |
Check here for yes
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| License Number |
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| License Expiration Date |
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| License Restrictions |
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| Chauffeur License |
| Do you hold an Operation or Chauffeur License in another State? |
Check here for yes
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| License 1 State |
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| License 1 Name Used |
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| License 1 Date From |
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| License 2 State |
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| License 2 Name Used |
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| License 2 Date From |
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| Has your license ever been denied or suspended? |
Check here for yes
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| What was the reason? |
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| Military History |
| Have you served on active duty in the Armed Forces of the United States? |
Check here for yes
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| What branch? |
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| What was your highest rank? |
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| Serial Number |
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| Served From |
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| Served To |
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| Discharge Date |
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| Discharge Type |
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| Have you ever had action taken against you while in the military? |
Check here for yes
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| If yes, please provide - Date: |
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| Place: |
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| Nature of Offense: |
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| Action Taken: |
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