Online Application
Confirm
Complete
SRT - Employment Application
Please Complete this Application.
Personal Information
Please provide your personal information.
Start Date:
*
Work Schedule:
*
 Full Time  Part Time
How were you referred:
  
First Name:
*
Middle Name:
  
Last Name:
*
Street Address:
*
City:
*
State:
*
Zip Code:
*
Phone:
*
- -
SSN:
*
- -
Date of Birth:
*
/ / (mm/dd/yyyy)
Email:
*
Salary Requirements:
*
Position Applying For:
*
Are you legally able to work in the US:
*
 Yes  No
Are you 18 years of age or older:
*
 Yes  No
Criminal History
Have you ever been arrested or convicted of any crime, including any Misdemeanor and Felony Charges?
Please Answer "yes" or "no":
  
 Yes  No
If yes, please explain:
  
Education History
Please provide your highest level of education of which you GRADUATED.
Schools/Colleges Attended:
  
Campus Location:
  
GPA:
  
Degree:
  
Major:
  
Start Date:
  
End Date:
  
Year Graduated:
  
Military Service
Please provide your Military Service History.
Branch of Service:
  
Rank Attained:
  
Technical Specialization:
  
Branch of Service:
  
Rank Attained:
  
Technical Specialization:
  
Employment/Work Experience
Please list your last 3 Employers.
May we contact this employer:
*
 Yes  No
Employer:
*
Job Title:
*
Supervisor:
*
Street Address:
*
City:
*
State:
*
Zip Code:
*
Phone:
*
- -
Describe Duties/Responsibilities/Accomplishments:
*
Reason for Leaving:
*
Dates of Employment From:
*
Dates of Employment To:
*
Salary:
*
May we contact this employer:
  
 Yes  No
Employer:
  
Job Title:
  
Supervisor:
  
Street Address:
  
City:
  
State:
  
Zip Code:
  
Phone:
  
- -
Describe Duties/Responsibilities/Accomplishments:
  
Reason for Leaving:
  
Dates of Employment From:
  
Dates of Employment To:
  
Salary:
  
May we contact this employer:
  
 Yes  No
Employer:
  
Job Title:
  
Supervisor:
  
Street Address:
  
City:
  
State:
  
Zip Code:
  
Phone:
  
- -
Describe Duties/Responsibilities/Accomplishments:
  
Reason for Leaving:
  
Dates of Employment From:
  
Dates of Employment To:
  
Salary:
  
Business References
Pleae provide 3 professional references who can attest to your work experience.
Name:
*
Company:
*
Position:
*
Relationship:
*
Street Address:
*
City:
*
State:
*
Zip Code:
*
Phone:
*
- -
Name:
*
Company:
*
Position:
*
Relationship:
*
Street Address:
*
City:
*
State:
*
Zip Code:
*
Phone:
*
- -
Name:
*
Company:
*
Position:
*
Relationship:
*
Street Address:
*
City:
*
State:
*
Zip Code:
*
Phone:
*
- -
Special Skills
Please provide any Special Skills, Training or certifications.
Describe Special Skills:
*
Custom
Are you a citizen of the United States?:
  
Are you authorized to work in the U.S.?:
  
Do you have prior work experience with The Phillips Group?:
  
Do you have experience as a Law Enforcement Officer?:
  
Are you interested in Security, Replacement Work or Both?:
  
Electronic Signature
Enter Name as Signature:
*
Dated:
*