FREELEND SECURITY AND ASSOCIATES
TENNESSEE DIVISION
Employment Application
APPLICANT INFORMATION
Last Name
First
M.I.
Street Address
Date
Apartment/Unit #
City
State
Phone
E-mail Address
Date Available
ZIP
Social Security No.
Date of Birth
Position Applied For/Desired Salary
Are you a citizen of the United States?
YES
NO
If no, are you authorized to work in the U.S.?
Have you ever worked for this company?
YES
NO
If so, when?
Have you ever worked for a security
company?
YES
NO
If so, when?
Have you ever been arrested?
YES
NO
If so, what
states?
If yes, were you transported to or
surrendered at a police station, sheriff’s
office, or other law enforcement agency?
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
If so, were you fingerprinted and booked
into jail?
Were misdemeanor or felony charges filed
against you?
YES
List the charges and dates:
Did you appear before the court and enter
a plea of guilty, not guilty, or no contest?
If you pled guilty or were found guilty,
what was the sentence of the court?
Are you currently on deferred sentence or
probation?
Did the court dismiss the charges against
you?
Were those charges against you expunged
from your record by the court?
Do you currently have charges pending
against you?
Have you ever been declared incompetent
by reason of mental defect or disease?
Are you currently suffering from habitual
drunkenness or any narcotic addition?
If so, will need proof of having completed treatment program.
EDUCATION
High School
From
Address
To
Did you graduate?
College
From
YES
NO
Degree
NO
Degree
Address
To
Did you graduate?
YES
NO
REFERENCES
Please list three professional references.
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address








STATEMENT OF COMPLIANCE AND UNDERSTANDING
I understand that it is my responsibility to know and understand the laws and rules regulating private security guards/officers. This
information will be provided by Freelend Security and Associates through required training.
I understand that I may not begin work for this company until this training has been completed.
I understand I will be required to sign a non-compete agreement in the event I should leave this security firm for another.
I understand should I be charged with an offense other than a minor traffic offense, I am required to notify my employer
immediately and I could be terminated.
I do hereby give Freelend Security and Associates permission to contact the references I have listed above and I do realize my
employment is contingent upon a favorable report from these references.
I understand these references will be questioned in regards to, but not limited to, my character, general reputation, personal
characteristics, and employment/education verification.
I further authorize any person, business entity and/or governmental agency who may have information relevant to the above to
disclose this information to Freelend Security and Associates, including, but not limited to, any and all courts, public agencies, law
enforcement agencies, and credit bureaus, regardless of whether such person, business entity or governmental agency compiled
the information itself or received it from other sources.
I understand that any false statement(s) and/or misrepresentation(s) given by me on this application or on any attachments could
result in failure to be hired by Freelend Security and Associates. Therefore, I certify that all answers, statements and information
given herein and on any attachments, are true and correct to the best of my knowledge and belief.
____________________________________________________________________________
Signature of Applicant
_________________________________________________
Date
PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Ending Salary
$
Ending Salary
$
Ending Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
MILITARY SERVICE
Branch
From
Rank at Discharge
Type of Discharge
If other than honorable, explain
ADDITIONAL EXPERIENCE (RELATIVE TO THE POSITION APPLYING FOR)
To