Blue Shield Protective Services Inc.
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HomeAbout UsServicesCareers
Client Login PortalEmploymentEmployment ApplicationPrivacy Policy
Unclaimed Money Registered Locator




                                            
      

Blue Shield Protective Services Employment Application
Name:
Address:
City:
State:
Zip Code:
Social Security:
Phone Number:
Email Address:
Position Applied For:
Salary Desired:
Per hour:
Hours available to work:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
When available to start work:
Education:
Name of school / Complete address:
High school:
College:
Trade school:
Other:
Do you have a drivers license:
State issued:
Have you had any vehicle accidents within the last three years:
How many:
Do you have any moving violations within the last three years:
Have you ever been convicted of a crime?
If yes, please explain:
Previous employment:
1. Name of employer:
Name of supervisor:
Date of employment:
From :
To:
Salary:
Per hour:
Complete address:
Phone #:
Last job title:
Reason for leaving:
List of duties performed, skills used or learned, advancement or promotions while working at this company?
May we contact this employer?
May we contact this employer?
Yes
No
Name of supervisor
Date of employment
From
To
Salary
Per hour
Complete address
Phone #
Last job title:
Reason for leaving:
List of duties performed, skills used or learned, advancement or promotions while working at this company?
Yes
No
2. Name of employer:
Name of supervisor
Date of employment
From
To
Salary
Per hour
Complete address
Phone #
Last job title:
Reason for leaving:
List of duties performed, skills used or learned, advancement or promotions while working at this company?
May we contact this employer?
Yes
No
Skills
Typing
Computer
Other skills
Please list two references other than relatives or employers
Yes
No
Speed per minute
Yes
No
Name
Position
Company
Telephone
Name
Position
Company
Telephone
Describe the qualification for this position which you are applying:
D License #
G License #
Date expired
Date expired
Date
Signature
To
To
To
To
To
To
To
#