Gill Security Systems- Employment Application
Gill Security is a drug free environment. Random drug testing is practiced.
A pre-hire background check is preformed by Gill Security Systems, Inc.
Date of application
Date of application
*
/
MM
/
DD
YYYY
Name
Name
*
First
Last
Address
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
United States
United Kingdom
Canada
Australia
Netherlands
France
Germany
-------
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Norway
North Korea
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
How long at this address?
*
Phone
Phone
*
-
###
-
###
####
Email
*
Position applying for
*
Rate of pay expected
*
Type of position desired
*
Type of position desired
Full-time
Part-time
How did you hear about this position?
*
Availability
Have you ever applied at Gill Security?
*
Have you ever applied at Gill Security?
Yes
No
If yes, when?
When would you be available to start work?
When would you be available to start work?
*
/
MM
/
DD
YYYY
How would you rate yourself?
Energy Level: Your sense of self-motivation and enthusiasm
*
Top Performer
Good
Okay
Improvement Needed
Communication Skills: Your ability to listen well, express ideas
*
Top Performer
Good
Okay
Improvement Needed
Hospitality: Your natural friendliness and customer service skills
*
Top Performer
Good
Okay
Improvement Needed
Reliability: Your dependability, attendance and dedication
*
Top Performer
Good
Okay
Improvement Needed
Personal Pride: Your appearance, hygiene and achievement
*
Top Performer
Good
Okay
Improvement Needed
Team Work: Your cooperation with others and team spirit
*
Top Performer
Good
Okay
Improvement Needed
What achievement in life are you most proud of?
*
What are your personal strengths?
*
What are your five year goals?
*
Do you have reliable transportation to work
*
Do you have reliable transportation to work
Yes
No
Do you have any relatives or friends currently employed at Gill Security?
*
Do you have any relatives or friends currently employed at Gill Security?
Yes
No
Do you have a valid drivers license?
*
Do you have a valid drivers license?
Yes
No
Do you have an DUI's/DWI's?
*
Do you have an DUI's/DWI's?
Yes
No
Do you have automobile liability insurance?
*
Do you have automobile liability insurance?
Yes
No
Employment History
Company 1- (Most recent)
Company Name
*
From
From
*
/
MM
/
DD
YYYY
To
To
*
/
MM
/
DD
YYYY
Position
*
Salary
*
Reason for leaving
*
Company 2
Company Name
From
From
/
MM
/
DD
YYYY
To
To
/
MM
/
DD
YYYY
Position
Salary
Reason for leaving
Company 3
Company Name
From
From
/
MM
/
DD
YYYY
To
To
/
MM
/
DD
YYYY
Position
Salary
Reason for leaving
Personal References
(Not former employers or relatives)
Reference 1
Name
Name
*
First
Last
Occupation
*
Phone
Phone
*
-
###
-
###
####
Reference 2
Name
Name
*
First
Last
Occupation
*
Phone
Phone
*
-
###
-
###
####
Reference 3
Name
Name
*
First
Last
Occupation
*
Phone
Phone
*
-
###
-
###
####
Record of Education
High School
School
*
Course of study
*
Year completed
*
Graduated?
*
Graduated?
Yes
Degree or diploma?
Degree or diploma?
Degree
Diploma
College/Technical or Vocational School
School
Course of study
Year completed
Graduated?
Graduated?
Yes
Degree or diploma?
Degree or diploma?
Degree
Diploma
Hobbies and special interests
Are you 18 years of age or older?
Are you 18 years of age or older?
Yes
No
If no, date of birth:
If no, date of birth:
/
MM
/
DD
YYYY
Have you ever been convicted of a crime or felony?
*
Have you ever been convicted of a crime or felony?
Yes
No
Have you ever been counseled or disciplined for being late or absent from work?
*
Have you ever been counseled or disciplined for being late or absent from work?
Yes
No
If you have answered yes to either of the above, please explain: