Sacramento Elite Patrol

Sacramento Elite Patrol
5657 1/2 Stockton Blvd,
Sacramento, CA. 95824
916-451-2500 (office)
916-451-2501 (Fax)

Personal Contact Information

First Name

Middle Name

Last Name

Email Address

Best Contact Phone Number

Secondary Phone Number:

Mailing Address

Address Line 1

Address Line 2

City

State

Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Columbia (District of) Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Entry Information

How did you hear about Capital Force Security?

Who referred you to Capital Force Security for employment?

Position Information

Position Applying For

Select Position Patrol Officer Fleet Maintenance Disptach Other

What wage per hour are you expecting?

Are you seeking full or part time employment?

     Full Time Part Time Both

Availability Information

What date are you able to start?

Are you available for work on weekends?

     Yes No Not Sure

Do you have any scheduling restrictions?

Are you available for night/overnight shifts?

     Yes No I Don't Know

Identification & Driving Information

California State ID or Driver License #

Expiration Date

How many years have you been a licensed driver?

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Has your license ever been suspended or revoked?

     Yes No

How many points do you have on your driver history?

     0-2 2-3 3-4 4-5 Not Sure

In the past 36 months, have you been cited?

     Yes No

If so, explain:

In the past 36 months, have you been a driver in a vehicle collision?

     Yes No

If so, explain

Do you have any restrictions on your license?

     Yes No

If so, explain:

Do you have reliable transportation?

     Yes No

Insurance Verification

For insurance qualification purposes only, are you at least 18 years of age?

     Yes No

For insurance qualification purposes only, are you over 21 years of age?

     Yes No

Computer Knowledge & Information

Describe your level of competency with the use of computers:

     Excellent Good Average Poor Very Poor

Approximately how many words per minute do you type?

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List the software applications you are most familiar with:

Guard Certificates

Do you have a valid California Guard Card?

     Yes No

Security License Number:

Guard Card Expiration:

Do you have BSIS approved chemical weapon certified training?

     Yes No

Do you have a California Baton Permit?

     Yes No

Baton Permit Number

Do you have a valid California Exposed Firearm Permit?

     Yes No

Firearm Permit Number:

Firearm Permit Expiration:

Licensed Calibers:

Education

Are you a high school graduate?

     Yes No GED

Are you presently attending college?

     Yes No

Are you presently attending other schooling?

     Yes No

If so, what is your school schedule?

Are you a college graduate?

     Yes No

If so, what degree(s) have you achieved, and in what field(s) of study?

Are you a graduate of a POST (Law Enforcement) academy?

     Yes No

If so, please explain:

Experience

Summarize your experience in the security field:

Employment

# Current or most recent employer:

Address

City

State

Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Columbia (District of) Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip

Phone Number

Your Title

Your Wage

Employment Began

Employment Ended

Time in Service

Supervisor's Name

Supervisor's Title

Duties Fulfilled

Reason for Separation

# Previous employer:

Address

City

State

Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Columbia (District of) Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip

Phone Number

Your Title

Your Wage

Employment Began

Employment Ended

Time in Service

Supervisor's Name

Supervisor's Title

Duties Fulfilled

Reason for Separation

Additional employment history:

Is there any reason you do not want any previous employer contacted? If so, who and why:

Please describe any military experience and training you possess:

Please describe any law enforcement or corrections experience you possess:

Please describe any volunteer activities or public service experience you possess:

Are you willing and able to pass a pre-employment drug screening?

     Yes No

Are you willing and able to pass a pre-employment physical fitness examination?

     Yes No

Are you willing and able to pass a pre-employment criminal background investigation? Note: For the following question(s) no applicant is required to disclose an arrest or detention not resulting in a conviction including referral to a diversion program

     Yes No

Criminal History (information will be verified)

Note: For the following question(s) regarding Criminal History, no applicant is required to disclose an arrest or detention not resulting in a conviction (including referral to a pretrial or posttrial diversion program). No applicant is required to disclose a conviction for violation of subdivision (b) or (c) of Section 11357 of the Health and Safety Code or a statutory predecessor thereof, or subdivision (c) of Section 11360 of the Health and Safety Code, or Section 11364, 11365, or 11550 of the Health and Safety Code as they related to marijuana prior to January 1, 1976, or a statutory predecessor thereof, two years from the date of such a conviction.

Have you ever been convicted of a felony?

     Yes No

Have you ever been convicted of a misdemeanor?

     Yes No

References

Reference #1: Name, phone number, relationship, years known

Reference #2: Name, phone number, relationship, years known

Background Identification:

Have you resided outside of the State of California in the last 10 years?:

     Yes No

If yes, please list any other States resided in during the last 10 years:

Please check the appropriate box (check one box only).

By selecting yes, I hereby elect to receive any public records, which may be obtained by Capital Force Security for employment purposes and verification purposes under Civil Code 1786.53. By selecting no, I hereby elect NOT to receive any public records, which may be obtained by Capital Force Security for employment purposes and verification purposes under Civil Code 1786.53.      Yes No

Is there anything else you would like us to know in considering your application?

By checking this box you have completed the application and are submitting true and accurate information to the best of your ability.

Required