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SUPERIOR SECURITY AND INVESTIGATIONS & MALTOS SECURITY GROUP

APPLICATION FOR EMPLOYMENT

These instructions must be followed exactly. Fill out application form completely. If questions are not applicable, enter "NA." Do not leave questions blank. Be sure to sign when completed. Superior Security/Maltos Security Group is an Equal Opportunity Employer and does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or the provision of services. You may make copies of this application and enter different position titles, but hard copies must be signed. Resumes will not be accepted in lieu of applications, unless specifically stated in the job vacancy notice.

I am applying for work in: *

Texas Oklahoma Both

First Name *

Middle Name

Last Name *

List any other names used if different from name on this application

Mailing Address

Street *

City *

State *

Zip *

Country *

Contact Information

Email Address *

Daytime Phone *

Alternate Phone

List exact title of position or type of work and location for which your wish to apply: *

Do you have any relatives working for this agency? If so, list names and relationships *

Are you at least 18 years of age? *

Yes No

PT/ FT

Full-Time

Part-Time

Summer

Temp/Project

Date available for work *

Superior Security/Maltos Security Group is operational 365/24/7. Do you have any scheduling restrictions limiting your availability? *

Current Driver's License Info

DL State *

DL Number *

Have you ever been convicted of a felony or subjected to deferred adjudication on a felony charge? *

Yes No

If your answer is "Yes," explain in concise detail in the box below, giving dates and nature of the offense, name and location of the court, and disposition of the case(s). A conviction may not disqualify you, but a false statement will. Note: Some state agencies may require additional information related to convictions of misdemeanors.

Explain in this box

Explain in concise detail in this box, giving dates and nature of the offense, name and location of the court, and disposition of the case(s)

EDUCATION

NOTE: Applicants may be required to provide proof of diploma, degree, transcripts, licenses, certifications, and registrations.

High School Graduate or GED? *

Yes No

If yes, name and location of high school or GED institute:

Please list all Education after high school below

Type of school *

Name and Location of School *

Dates Attended

From *

To *

Date Graduated *

Expected Graduation Date *

Semester Hours Completed *

Type of Diploma or Degree *

Major/ Minor Fields of Study *

Type of school

Name and Location of School

Dates Attended

From

Date Graduated

Expected Graduation Date

Semester Hours Completed

Type of Diploma or Degree

Major/ Minor Fields of Study

Type of school

Name and Location of School

Dates Attended

From

Date Graduated

Expected Graduation Date

Semester Hours Completed

Type of Diploma or Degree

Major/ Minor Fields of Study

Other Licenses or Certification

If a license, certificate, or other authorization is required or related to the position for which you are applying, complete the following:

License/ Certification

Security, Law Enforcement, or Any

License Number

Date Issued

Date Expires

State Issuing Certification

Armed/ Unarmed Commissioned or Non-Commissioned

License/ Certification

Security, Law Enforcement, or Any

License Number

Date Issued

Date Expires

State Issuing Certification

Armed/ Unarmed Commissioned or Non-Commissioned

Special Training/Skills/Qualifications

List all job related training or skills you possess and machines or office equipment you can use, such as calculators, printing or graphics equipment, computer equipment, types of software and hardware.

Approximately how many words per minute do you type? *

Can you speak and write the English language? *

Yes No

Can you speak and or write any other language? *

Yes No

If Yes, explain:

Have you ever been employed by Superior Security, list the assignment(s): *

MILITARY SERVICE (A copy of a report of separation from the Armed Services may be required.)

Are you a veteran? *

Yes No

If Yes, list type of discharge

Dates of service

From

EMPLOYMENT HISTORY

This information will be the official record of your employment history and must accurately reflect all significant duties performed. Summaries of experience should clearly describe your qualifications.

Include ALL employment. Begin with your current or last position and work back to your first. Employment history should include each position held, even those with the same employer.
EMPLOYER ADDRESS MUST BE COMPLETE MAILING ADDRESSES, INCLUDING ZIP CODE.
Answer all questions and completely summarize your experience including technical and managerial responsibilities and any special training, skills and qualifications for each position you have held.

Position Title *

Type of position *

Technical Non-Managerial Supervisory/Managerial

If Supervisory, number of employees you supervised *

Starting Date *

Leaving Date

Current/Final Salary *

Weekly hours *

Full-Time Part-Time Summer Temp/Project

Give Average # of hours per week if part-time

Employer *

Mailing Address *

City, State and Zip *

Employer's Telephone No. *

Immediate Supervisor Name *

Title *

Supervisor's Telephone No. *

Summary of experience including special training/skills/qualifications you have used in the performance of this job *

Specific reason for leaving *

Position 2 Title

Type of position

Technical Non-Managerial Supervisory/Managerial

If Supervisory, number of employees you supervised

Starting Date

Leaving Date

Current/Final Salary

Weekly hours

Full-Time Part-Time Summer Temp/Project

Give Average # of hours per week if part-time

Employer

Mailing Address

City, State and Zip

Employer's Telephone No.

Immediate Supervisor Name

Title

Supervisor's Telephone No.

Summary of experience including special training/skills/qualifications you have used in the performance of this job

Specific reason for leaving

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND INDICATE YOUR
UNDERSTANDING AND ACCEPTANCE BY SIGNING IN THE SPACE PROVIDED

I verify that all of the Information on this application and exhibits and resumes, if any, is true, correct and complete. I have not withheld any information requested by Superior Security/Maltos Security Group. I understand that false, misleading, incomplete, or omitted information will result in rejection of my application or termination from employment, whenever discovered.

I authorize Superior Security/Maltos Security Group and its agents to confirm all information provided on this application, exhibits, and resumes, if any, and to investigate my suitability for employment including background checks and credit checks. I agree to furnish additional information if requested. I release
Superior Security/Maltos Security Group and all persons and entities from any claims, liabilities, or damages from obtaining or furnishing information about me.

This application is not a job offer or employment contract with Superior Security/Maltos Security Group for any specific time period. If conditionally hired, my employment will be for an indefinite time period, and I may resign or be terminated by Superior Security/Maltos Security Group at any time without notice or requirement of cause.

I understand that, if employed, I will be required to complete a federal 1-9 form and provide verification of my identity and right to work in the United States. Superior Security/Maltos Security Group participates in E-Verify.

Any conditional offer of employment by Superior Security/Maltos Security Group is subject to successful completion of all employment requirements, including but not limited to verifying employment, personal references, criminal record, license/certification, driving record (where appropriate), drug screening and other bona fide medical-related occupational qualifications.

Please Read Carefully and Check Boxes Before Signing Your Application

clause_1

I understand that completion of this application does not indicate that there are any positions open and does not in any way obligate the Company to hire me or to offer me a job. also understand that this application is only current for 90 days. If I have not been employed within 90 days and still wish to be considered for employment, I must fill out a new application.

clause_2

I understand that if hired, my employment with Superior Security & Investigations of Shawnee, Inc. a division of the Maltos Group of Companies or any of its affiliated companies would be for an indefinite period of time and may be terminated by me or the Company at any time for any or no reason. Likewise, no oral statements or assurances by any person within the Company will constitute an employment contract which can only be entered into by an individualized written agreement signed by me and an officer of the Company. I agree that, if I am hired, I will conform with all company policies and procedures and understand that the Company may modify, amend, and/or revoke any of its employment policies, practices, and benefits without prior notice or my consent. Furthermore, I agree that if I am hired, the Company shall have the right to withhold all or part of my wages to offset any financial liability I may have to the Company, including any damage of, or loss of, or failure to return Company or Client property, or any property lost through theft, or damage or loss due to carelessness or negligence.

clause_3

I understand that if I am hired, I will be probationary employee during the 120-day introductory period and that after completion of my probation period I understand the relationship shall continue to be an employment at will, terminable at any time without cause by either me or the Company.

clause_4

I understand that if I am hired I may be required at any time to submit to a drug test, alcohol test, and/or medical examination, to extent permitted by law, conducted by a licensed physician selected by the Company at the Company expense. I hereby give a continuing authorization to any hospital or any health care facility and to any physician or other person conducting such medical examinations and/or tests to furnish to Superior / Maltos or its designated agent any medical records and medical information as may be relevant and necessary to the disposition or investigation of any claim against the Company or the insurance carriers of the company, including any claim I may have for worker's compensation.

clause_5

I understand that Superior / Maltos reserves the right to use any method of investigation which, in its sole discretion, it deems reasonable and necessary to determine whether any employee has engaged in conduct warranting disciplinary action. As a condition of employment, if hired, I agree to cooperate in any such investigation. As a condition of my employment, I voluntarily agree to cooperate in submitting to any urine or blood tests requested by the company, as well as any searches of my person or property while employed by the Company, and I recognize that refusal to cooperate in such tests or searches would be grounds for discipline, including termination.

clause_6

I understand that Superior / Maltos may investigate my work and personal history. I authorize all previous employers, persons, schools, companies, corporations, credit bureaus and law enforcement agencies to supply any and all information of records concerning me, my background and personal history, employment, education, military service or criminal history and release them from any liability and responsibility from their doing so. I also authorize the Company to provide, any and all truthful information and records concerning my employment with the Company to future prospective employers and I agree to hold the Company harmless for providing such information. Failure to release the information requested by the Company may result in the discontinuance of the background investigation and the processing of my application. I understand that a photocopy or fax of this release form will be valid as an original thereof.

clause_7

I Certify that I have read and understand the above paragraphs. I further certify that all the information submitted on this application is true and correct to the best of my knowledge. I understand that any false information, omission, or misrepresentations of facts called for in this application or in interviews may be cause for the denial of my application, or, if I am employed, discharged at any time. I also affirm that I have a genuine intent and no other purpose in applying for a position with the Company.

AUTHORIZATION TO OBTAIN CONSUMER REPORT

clause_7_consumer_report

I certify that I have received a written notification that the Company may obtain a consumer report on me. This report may be used in connection with my application for employment and for other employment related purposes. I authorize the Company to obtain this report.

Agree to Application terms and conditions *

I have read the carefully read the statements listed above, I understand and accept the terms

Signature - Applicant *

Today's Date *