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Employee Statement & Security Guard Application

In accordance with applicable law, this company is an equal opportunity employer and does not discriminate because of race, religion, color, age, gender, national origin, marital status, disability, genetic information, veteran statusk sexual orientation or any other status protected by law. No question on this application is intended to secure information to be used for such discriminations.

Applicant’s Statement of Understanding and Authorization

I understand that this application will be given every consideration, but its receipt does not imply that the applicant will be

employed. I understand that I may choose to leave any portion of the application incomplete or blank and that the

following information is given voluntarily. I understand and authorize Citadel Protection Group, LLC to obtain a consumer

report of my financial and credit report as well as an investigative consumer report whereby information is obtained

through personal interviews with neighbors, friends and others to whom I am acquainted with. This investigation includes

information about my character, general reputation, personal characteristics and mode of living. I understand that I have the

right to make a report. I give my permission to Citadel Protection Group, LLC to contact any of my former employers to

release all records of my employment including assessments of my job performance, ability and fitness. I understand that

the company may require a motor vehicle record (MVR) report. I understand that Citadel Protection Group, LLC reserves

the right to require a medical examination as well as periodic physical and medical examinations and pre-employment as

well as post-employment drug and alcohol testing, to the extent permitted by law. I hereby state that if dismissed from

Citadel Protection Group, LLC, if I am employed, I understand that such employment is at will and will not result in an

employment contract for any specific term unless otherwise specified in writing by the Owners and/or CEO.

Applying for (Check only one):

Position
Unarmed Security Officer
Armed Security Officer

APPLICANT INFORMATION

Date of Birth
Month
Day
Year
Home Address
Type of Employment
Full-time
Part-time
Flex
Are you currently employed?
Yes
No
Do you have reliable mean of transportation?
Yes
No

Employment History

General Information

Check all uniform items owned:
Check all Certifications that apply:

Background Questionnaire

Are you a citizen of the United States or a legal resident of the United States in possession of a valid alien registration card?
Yes
No

If "No," you must submit an explanation.

Are you a peace officer?
Yes
No

If “Yes,” and if you qualify for an exemption, you must submit further

documentation. If you DO NOT qualify, you must submit training certificates.

Are you a retired police officer?
Yes
No

If “Yes,” and if you qualify for an exemption, you must submit further documentation. If you DO NOT qualify, you must submit training certificates.

Have you ever been convicted in this state or elsewhere of a crime or offense that is a misdemeanor or a felony?
Yes
No

If “Yes” you must submit with this application a written explanation giving the place, court jurisdiction, nature of offense, sentence and/or other disposition. You must submit a copy of the accusatory instrument (e.g., indictment, criminal information or complaint) and a Certificate of Disposition. If you possess or have received a Certificate of Relief from Disabilities, Certificate of Good Conduct or Executive Pardon, you must submit a copy with this application.

Are there any criminal charges (misdemeanors or felonies) pending against you in any court in this state or elsewhere?
Yes
No

If “Yes,” you must submit a copy of the accusatory instrument (e.g., indictment,

Criminal information or complaint).

Has any license or permit issued to you or a company in which you are or were a principal in Georgia or elsewhere ever been revoked, suspended or denied?
Yes
No

If “Yes,” you must submit an explanation.

Have you ever been discharged from a correctional or law enforcement agency for incompetence or misconduct?
Yes
No

If “Yes,” you must submit an explanation.

Have you ever been declared to be incompetent by reason of mental disease or defect, which has not been removed by any court of competent jurisdiction?
Yes
No

If “Yes,” you must submit an explanation.

Have you ever applied in this state or elsewhere for a registration/license as a security guard, watch guard, patrol agency or private investigator?
Yes
No

If “Yes,” please provide the UID # or Reg #

Have you ever served in one of the US Military components, including Reserves, National Guard or Air National Guard?
Yes
No

If “Yes,” were you discharged in any other means than honorable? Submit an explanation.

Are you still currently serving as a military member?
Yes
No

If “Yes,” you must provide a copy of your DD214 and an explanation of branch and position you served.

Please upload any documents related to the above questions here.

APPLICANT AFFIRMATION

I certify that the information I have given in this application is true and completed to the best of my knowledge and understand that falsification, omissions, or misrepresentations of this information is grounds for rejection of my employment application, and if employed by Citadel Protection Group, LLC, may be terminated immediately. I authorize the character references, previous employers and education institutions listed above to give you any information concerning my previous employment and any pertinent information they may have, personal or otherwise, and all parties from all liability, claims or for and damage that may result from me. I grant to Citadel Protection Group, LLC, its representatives and employees, the right to take photographs, videos, digital media of me and my property in connection with the above-identified subject. I also release Citadel Protection Group, LLC from any and all liability of whatever kind and nature, which, at any time, could result from obtaining and having an employment, based on such information. I agree to conform to the rules and regulations of the company. Furthermore, I understand that if an offer of employment is extended, it is conditioned upon completing the federal I-9 Form and providing documents establishing identity and work authorization, passing a pre-employment drug screening and background check. I understand that my employment can be terminated with or without cause and with or without notice, at any time, at the option of either the company or myself. I understand that only the owners, or CEO/President of the company has the authority to enter into any agreement contrary to the foregoing. I represent that I am able to meet the attendance requirements as required by the company. I understand that by maintaining a current Guard license and operable mobile phone that may be necessary for continued employment. I acknowledge that the federal minimum wage is $7.25 per hour and if I am terminated for any company violation(s) or quit without providing a two week notice I will be paid at the federal minimum wage of $7.25 and any legally required overtime (if applicable) for all hours worked.


Any controversy, dispute or claim arising out of or relating to the at-will employment shall first be settled through good faith negotiation. If the dispute cannot be settled through negotiation, employee agrees to attempt in good faith to settle the dispute by mediation administered by JAMS. If the parties are unsuccessful at resolving the dispute through mediation, the parties agree to arbitration administered by JAMS pursuant to its Employment Arbitration Rules & Procedures and subject to JAMS Policy on Employment Arbitration Minimum Standards of Procedural Fairness. Judgment on the Award may be entered in any court having jurisdiction.


I have read and fully understood the Applicant’s Affirmation of Understanding and Authorization.

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Date
Month
Day
Year
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