Application Part 2 - DCJS related
*Be sure to answer ALL questions in their entirety. In-complete responses will result in a poor applicant rating.
Do you have a current VA DCJS Registration?
If yes, Please indicate which Registrations you have:
If you have prior Military experience, please indicate your branch of service, dates of service, etc. and if available, please remit a copy of your DD-214.
Do you have current CPR, AED, First Aid or related medical training?
Do you have reliable transportation?
Do you have a valid VA DMV License?
Do you have a good VA Driving Record? (Note: You may be required to provide a copy)
Do you have a current VA Concealed Carry Permit?
Are you able and willing to take a pre-employment physical and physical fitness test?
Are you able and willing to stand and/or walk for extended periods of time during your shift?
Authorization for Release of Information
The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.
I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.
Pursuant to the requirements of the Fair Credit Reporting Act, I acknowledge that a credit report, Consumer Report and/or Investigative Consumer Report may be made in connection with my application for employment with prospective employer (including contract for services). I understand that these investigative background inquiries may include credit, consumer, criminal, driving, prior employment and other reports. These reports may include information as to my character, work habits performance and experience, along with reasons for termination of past employment from previous employers. Further, I understand that prospective employer and American Security Group may be requesting information from various Federal, State and other agencies which maintain records concerning my past activities relating to my driving, credit, criminal, civil and other experiences as well as claims involving me in the files of insurance companies.
I authorize, without reservation, any party or agency contacted by American Security Group to furnish the above-mentioned information. A photocopy of this authorization shall have the same effect as the original.
I understand the information obtained will be used as one basis for employment or denial of employment. I hereby discharge, release and indemnify prospective employer, American Security Group, their agents, servants and employees, and all parties that rely on this release and/or information obtained with this release from any and all liability and claims arising by reason of the use of this release and dissemination of information that is false and untrue if obtained from a third party without verification.
I understand that I have specific prescribed rights as a consumer under the Federal Fair Credit Reporting Act (FCRA), and may have additional rights under relevant state law. I hereby certify that I have been presented with a summary of my rights as a consumer under the Fair Credit Reporting Act.
It is expressly understood that the information obtained through the use of this release will not be verified by American Security Group. The authorization granted herein expires one year from the date hereof.
I have read and understood the above information, and assert that all information provided by me is true and accurate. I acknowledge that falsification or omission of information may result in immediate dismissal or retraction of any offer of employment. I also understand that employment is conditional upon completion and/or passing the medical evaluation, drug, credit, criminal, and physical tests.
I understand that I am required to abide by all rules and regulations of the company.
American Security Group, LLC
P.O. Box 18445
Richmond, VA 23226
866.335.5711 Toll fax
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.
The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.
Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Veteran Status: (Please check all that apply)