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First Name
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Middle Name
Address
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City
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State
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Zip
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Phone: Home
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Phone: Cell
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Email
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Additional Details
Do you have a valid driver’s license
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State
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Expiration Date
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Has your license been suspended or revoked?
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Have you ever been convicted of a criminal offense?
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If Yes,
was it a felony or misdemeanor?
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Do you have a permit to carry a concealed weapon?
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What State
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Expiration Date
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Ribi
Have you ever applied to RIBI for employment?
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If Yes,
When
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Have you ever worked for RIBI?
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If Yes, When
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Reason for Separation
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Sites assigned to
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Supervisor(s)
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Additional Details
Are you a United States Citizen?
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Do you have a US Passport?
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Is citizen status by:
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Birth
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If you are an alien: Do you have a USCIS Authorization to work in the US?
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Do you object to the RIBI pre-employment screening process
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Additional Details
Will you work on Major Holidays that fall on a normally assigned day?
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Position applied for
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Manager
Guard
Do you desire Full or Part Time Employment?
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Part Time
Are you available any day at any time?
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If No, mark when you are available.
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
1
st
Shift
2
nd
Shift
3
rd
Shift
WHAT WAGE DO YOU EXPECT TO MAKE?
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FROM
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PER HOUR
Educations
School
Name and Address for Each Institution
Years Attended
Course or Major / Year Completed
High School
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College
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Tech School
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Other Training
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Special Training and Skills
Please list any foreign Languages spoken fluently
Please list any special training or certificates you have received
Please list any skills you posses that will enhance your ability to perform as a security officer at RIBI
Working History
Add Experience
If no, please explain
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Military Service
Have you served in the Armed Forces?
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Please indicate what Branch
Last Rank or Rating Attained
Dates of Service From
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Type of Discharge
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If hired, can you provide a copy of your DD 214?
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