Application. Office of the Chief of Staff

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1 Application Beowulf seeks both innovative thinkers and experienced professionals to best provide its comprehensive security services. This application, a cover letter, and your resume may be ed with your name in the subject line to or submissions may be mailed to: 1739 E. Carson St. STE ATTN: of the Chief of Staff is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age, or disability. We assure you that your opportunity for employment depends solely on your qualifications. of the Chief of Staff 1739 E. Carson St. STE

2 General Background Name Middle Maiden Home Mobile Position Applied For Have You Ever Been Convicted of a Crime Yes No If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation. Are You Legally Eligible to Work in the U.S. Yes No If you are not a U.S. Citizen, are there any restrictions on your eligibility for employment? Yes No Education Name Location Graduation Date Major High School College

3 Trade School Driving History Do you have a valid driver s licenses? Yes No State of Issue Dates of Issue From Until Driver s License Number License Type Operator Commercial (CDL) Chauffeur Have you had any accidents in the past three years? Yes No How Many? Have you had any moving violations in the past three years? Yes No How Many? Work Experience Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Position 1 Name of Employer Name of Supervisor

4 Employment Dates From Until Pay or Salary Start Final Your Job Title Reason for Leaving (Be Specific) List any skills or certifications gained from this position Position 2 Name of Employer Name of Supervisor Employment Dates From Until Pay or Salary Start Final

5 Your Job Title Reason for Leaving (Be Specific) List any skills or certifications gained from this position Position 3 Name of Employer Name of Supervisor Employment Dates From Until Pay or Salary Start Final Your Job Title Reason for Leaving (Be Specific) List any skills or certifications gained from this position Military Service Applicants who have separated from any military service (including Reserves or National Guard) must present a DD-214 in addition to copies of performance evaluations for at least three years when requested. Non-US service members must provide equivalent proof of prior service for consideration. Have you ever served in the military? Yes No

6 Occupational Specialty Rank/Rate Time Served From Until References Please list two references other than relatives or previous employers. Name Relationship Name Relationship

7 Please Read Carefully Application Form Waiver In exchange for the consideration of my application by (hereinafter called the Company ), I agree that: Neither the acceptance of this application nor the subsequent entry into any type of relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the Managing Director of the Company. Both the undersigned and may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. I certify that all of the statements in this application are true and complete to the best of my knowledge. I understand that a false or incomplete answer may be grounds for not considering me or for my dismissal. Signature Date DD/YY This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age, or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications. Thank you for completing this application form and for your interest

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