N.C. License #1248-GP
704-456-7401Mon-Fri 10am - 5pm

    step 1

    Application for Employment


    step 2

    References (Personal or Professional and NOT related to you)

    Reference 1
    Reference 2
    Reference 3



    step 3

    Work Availability (Complete Section Based On Your Current Days/Hours Of Work Availability)

    NOTE: THE BELOW SECTION SHOULD REFLECT YOUR PERSONAL AVAILABILITY AND NOT BASED ON ANY POSTED HSI JOB OPENING

    Sunday
    Any Shift1st Shift (Day)2nd Shift (Evening)3rd Shift (Night)

    Monday
    Any Shift1st Shift (Day)2nd Shift (Evening)3rd Shift (Night)

    Tuesday
    Any Shift1st Shift (Day)2nd Shift (Evening)3rd Shift (Night)

    Wednesday
    Any Shift1st Shift (Day)2nd Shift (Evening)3rd Shift (Night)

    Thursday
    Any Shift1st Shift (Day)2nd Shift (Evening)3rd Shift (Night)

    Friday
    Any Shift1st Shift (Day)2nd Shift (Evening)3rd Shift (Night)

    Saturday
    Any Shift1st Shift (Day)2nd Shift (Evening)3rd Shift (Night)

    FTPT

    YESNO


    YESNO

    YESNO

    YESNO

    Direct DepositCheck


    YESNO

    YESNO

    YESNO


    YESNO

    If Yes, Please Explain Below


    YESNO

    If Yes, Please Explain Below





    step 4


    EMPLOYMENT HISTORY

    HARRISBURG SECURITY, INC. Is Committed To Providing Equal Opportunity Employment To Employees Without Regard To Race, Religion, Creed, Age, Gender, Any Disability Unrelated To An Individual's Ability To Perform Adequately Or And Other Characteristics Protected By Law.

    NOTE: START WITH YOUR MOST RECENT OR CURRENT JOB AND INCLUDE PREVIOUS WORK EXPERIENCE. **Must Include No Less Than 7 Yrs Of Previous Work Experience (if applicable)**

    EMPLOYMENT HISTORY 1







    I am still currently working at this job




    YESNO


    DAYSEVENINGSNIGHTS

    EMPLOYMENT HISTORY 2







    I am still currently working at this job




    YESNO


    DAYSEVENINGSNIGHTS

    EMPLOYMENT HISTORY 3







    I am still currently working at this job




    YESNO


    DAYSEVENINGSNIGHTS

    EMPLOYMENT HISTORY 4







    I am still currently working at this job




    YESNO


    DAYSEVENINGSNIGHTS




    step 5

    EDUCATION HISTORY

    YESNO
    YESNOCurrently Attending
    YESNOCurrently Attending


    SIGNATURE: