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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)

1 Name
2 Name
3 Name

step 3


Work Availability (Complete section below based on your current day/hours of availability)

Sunday
1st Shift (Day)2nd Shift (Evening)3rd Shift (Night)Any Shift
Monday
1st Shift (Day)2nd Shift (Evening)3rd Shift (Night)Any Shift
Tuesday
1st Shift (Day)2nd Shift (Evening)3rd Shift (Night)Any Shift
Wednesday
1st Shift (Day)2nd Shift (Evening)3rd Shift (Night)Any Shift
Thursday
1st Shift (Day)2nd Shift (Evening)3rd Shift (Night)Any Shift
Friday
1st Shift (Day)2nd Shift (Evening)3rd Shift (Night)Any Shift
Saturday
1st Shift (Day)2nd Shift (Evening)3rd Shift (Night)Any Shift
FTPT


YESNO
YESNO


YESNO

Direct DepositCheck *Payday is weekly


YESNO


YESNO

YESNO

Black Work Shoes (No sneakers), Black Dress Pants, Black Belt, Black T-Shirt and Black Socks


YESNO

If yes, please explain below.


YESNO

If yes, please explain below.

step 4


Employment History

Start with your most recent or current job. Harrisburg Security, Inc. is committed to providing equal opportiunity 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 characteristic protected by law.

1





YESNO

DAYEVENINGNIGHT
2





YESNO

DAYEVENINGNIGHT
3





YESNO

DAYEVENINGNIGHT
4



YESNO

DAYEVENINGNIGHT

step 5


Education

YESNO
YESNO
YESNO
YESNO
I certify that all information I've listed in this Job Application is accurate to the best of my knowledge

step 6


Equal Employment Opportunity Form

Applicant Information

Voluntary Information

This information is being requested in accordance with federal regulations. The information is voluntary and will not be used when considering you for employment with our company.

Racial or Ethnic Group
Gender
Military Service
How did you hear about this position?