Pre Employment Questionnaire

This company is an equal opportunity employer and does not discriminate in matters of hiring or any other condition of employment.  This company conducts background investigations on ALL potential employees to determine their suitability for employment.

Name *
Do you have a valid Driver's License? *
Looking for
Have you ever worked for this company before?
U.S. Military or Naval Service
Highest level of Education *
Have you ever been convicted of a crime? *
Have you ever taken/used illegal drugs? *
Do you have any security experience? *
Do you currently hold any of the following licenses?
Any injuries/conditions which would preclude you from reaching, bending, lifting, carrying objects, or standing for a long period of time?
Any job related injuries?
(If Yes) Was a Worker's Compensation claimed?
Today's Date
Today's Date

By completing this questionnaire, I hereby affirm that the information provided on this Pre-Employment questionnaire is true and complete to the best of my knowledge.  I also agree that any falsified information or significant omissions may disqualify me from further consideration for employment.