CDA Global Security








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APPLY ONLINE

PERSONAL INFORMATION

Last Name
First Name & Middle Initial
Street Address
City
State
Zip Code
Telephone #
Social Security #
Fax #
E-Mail Address
Valid Drivers License?	Yes No
If Yes # Number And State

QUALIFIERS

Are You At Least 18 Years Of Age ? Yes No
Are you either a U.S. citizen or an alien who has legal right to work in the job for which you are applying ? Yes No
Have you ever been convicted of a felony that has not been expunged or sealed ? Yes No

Are you registered/licensed as a security officer in this state ? (where applicable) Yes No
If yes, give registraton/license number and expiration date
If you are already registered/licensed as a security officer i this state, has your registration/license been revoked or suspended ? Yes No
if yes state reason(s), date of suspension or revocation, and date of reinstatement below.

EMPLOYMENT DESIRED

Position applying for:
Full time Part time Temporary
Minimum salary required

OTHER INFORMATION

Have you ever applied to, or worked for CDA before ? Yes No
If yes, when ?
What was the reason for leaving ?
Do you speak, read, or understand any languages other than english which would aid you in the performance of your work duties ? Yes No
If yes, which languages
Do you have any other experience, training , qualifications or skills which you feel make you especially suited for work at CDA? Yes No
If so, explain by entering information below

Describe your duties and responsibilities at your last job

Are you reachable by phone ? Yes No

MILITARY EXPERIENCE

Have your ever served as a member of the armed forces ? Yes No
If yes, What Branch ?
Rank at separation :
Type of Discharge ?
Assignment:
Have you obtained any special skills or abilities as a result of your services in the military ?

EMPLOYMENT HISTORY

List below all present and past employment,starting with the most recent employer (go back 5 years).

Name of Employer :
Address
Position
Dates of Employment (From/To)
Pay Rate
Duties/Responsibilities

Reason for Leaving:

Supervisor's Name
Telephone:
Fax:

EDUCATION HISTORY
[A] List last three (3) schools attended, starting with most recent [B] List number of years completed [C] Indicate degree or diploma earned, if any [D] Grade Point Average or Class Rank [E] Major field of study [F] Minor field of study (if applicable)

Educational Institute #1

Educational Institute #2

Educational Institute #3

PLEASE READ CAREFULLY

I have read and fully understand the questions asked in this application. I certify that all answers given by me are true, accurate and complete. I also understand that the omission and/or misrepresentation of any fact from this applicaton or during any interview for employment will be cause for immediate dismissal. I authorize CDA, Inc., to contact all my employment references, and to inquire about, investigate and obtain copies of any records which relate to me for my former employers and educational institutions I have attended. I hereby release CDA, Inc., and all affiliated entitties, as well as any person or institution that provided CDA, Inc., with any information about me, from any and all liability whatsoever resulting from any such inquiry, investigation or communication

I agree Yes No

If hired, I agree to abide by all of the rules and regulations of CDA, Inc. I understand and agree that nothing in this application shall constitute a contract or a guarantee of employment for a specific period of time. I also understand that if employed, my employment may be terminated with or without cause and with or without notice at any time, at the will of either CDA, Inc., or me. I further understand that no representative or agent of CDA, Inc., other than the President, a Vice President or Human Resources Manager has the authority to enter into an agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing unless the agreement is in writing. In addition, I understand that CDA, Inc., and all plan administrators shall hav ethe amximum discretion permitted by law to administer , interpret , modify , discontinue , enhance or otherwise change all policies , procedures , benefits or toher terms and conditions of employment. I understand that a physical examination and drug/alcohol test may be required to verify my fitness for work after a job offer is extended but prior to beginning work. Any offer of employment is conditioned on my successfully completing the post-offer, pre-employment physical and drug/alcohol test. Any offer of employment is subject to withdrawal for failure to meet this condition.

I agree Yes No

Name:

Date: