Online Preliminary Employment Application
Name
First
Middle
Last
Address
City
State / Province
Zip Code / Postal Code
Home Phone
Work Phone
Other Phone
Email
Region Applying for
Select One
Riverside, California 92509
Roseville, California 95678
Employment Information (Start with your current or most recent employer first.)
Employer Name
Address
Phone Number
Employed From
Employed To
Duties
Name of Supervisor
Pay
May We Contact This Employer?
Yes
No
Reason For Leaving
Employer Name
Address
Phone Number
Employed From
Employed To
Duties
Name of Supervisor
Pay
May We Contact This Employer?
Yes
No
Reason For Leaving
Employer Name
Address
Phone Number
Employed From
Employed To
Duties
Name of Supervisor
Pay
May We Contact This Employer?
Yes
No
Reason For Leaving
Do You Have A Security Guard Card, License or Registration?
Yes
No
Security Guard Card, License or Registration Number
Security Guard Card, License or Registration Expiration Date
Are You Familiar with the Blue Streak Security
©
Program?
No
Somewhat
Yes
What is Your Typing Speed?
You can check your typing speed
here.
Any Other Permits or Certifications
Any Special Skills or Training
Aside from minor traffic violations, have you ever been convicted of a crime?
Optional Cover Letter