Squad Security

Last Name:	First Name:		M:
Address:	Apt#:
Date of Birth	Age:		Sex:	Male Female
SSN:
Home Number:
Work Number:
Cell:
Email:
Height:	Weight:	lbs.
Hair Color:	Eye Color:
Are you licensed to carry a gun?		Yes No
If yes, then which State(s) are you licensed to carry a gun?
Do you have a full carry or a custodial permit?
Permit Number:
Do you have your New York 8-hour Certificate?		Yes No
Certificate Number:
What type of position are you applying for?
Availibility for work: (Days/Hours)
Vehicle Information:
Make:	Model:
Experience:
Do you have any Law Enforcement or other relevant experience including police or miltary?			Yes No
If yes, please be more specific:

Are you currently retired or active?
What was your last or current rank?
What was your last or current assignment?
Do you speak any foreign languages? if so please list:
Do you have any special skills, not previously listed?
Emergency Contact:
Name:	Relationship:
Address:	Phone: