This application takes approximately ten minutes to complete. Once sent to Universal, you will immediately be entered into our applicant pool. Universal's team of recruiters will contact each applicant once this form has been processed.



*Indicates required fields.
Contact Name:*
Address:*
City:*
State:*
Zip:*
Phone:*
Fax:
Email:*
   
Education Level:
Other:
   
Type of Position:
Other:
   
Date Available to Start Work:
   
Salary Desired/Expected:
   
Working Restrictions:
   
I was referred by:
Other:
   
I would like to work in:
Other:
   
I am interested in the following shifts:
Any Shift Swing
  Day Grave
     
If hired, can you provide proof that you are at least 18 years of age?

Yes No
     
If hired, can you provide proof of your legal right to work in the United States?

Yes No
     
If hired, are you willing to take a medical exam related to the essential functions of the job, which includes drug screening?
  Yes No
     
Will you need reasonable accommodation to perform any of the essential functions of the job?
  Yes No
     
Have you ever applied at this company before?

Yes No
     
If yes, when?
 
   
Have you ever worked at this company before?
  Yes No
     
If yes, when?
 
     
Have you ever been convicted of a crime before? (Convictions are not an automatic disqualification from employment.)
  Yes No
     
Please Enter Your Last Three Jobs, Beginning with Most Recent:
   
#1 Company Name:
Address:
Describe Duties:
Title:
Telephone#:
Start:
End:
Ending Salary:
Reason for Leaving:
   
#2 Company Name:
Address:
Describe Duties:
Title:
Telephone#:
Start:
End:
Ending Salary:
Reason for Leaving:
   
#3 Company Name:
Address:
Describe Duties:
Title:
Telephone#:
Start:
End:
Ending Salary:
Reason for Leaving:
   
Education/Military Information
 
School or Institution
Name and City/
State of School
Highest Grade Completed and/or Degree
Elementary
High School
College
 
Honors or Awards Received:
   
Professional Licenses or Certificates:

   
Dates of US Military Service:
 From:


To:
   
Branch/Rank Held:
   
Reserve Status:
   
References
   
Name & Address
Telephone
Occupation
Years Known
   
Applicant's Certification and Agreement
   
1. I understand that any offer of employment regarding certain job positions may be conditioned on satisfactory completion of a medical examination and/or a drug and alcohol screen. I agree to sign a release of medical information authorization form and to submit to a medical examination and/or drug and alcohol screen should the Company condition my offer of employment upon successful completion of such an examination or screening.

2. I certify, under penalty of perjury, that all of the above information is true and complete, and I understand that any misrepresentation, falsification or omission of information may result in the denial of employment or, if hired, may result in termination regardless of the amount of time that has passed.

3. I authorize the Company to contact my former employers, references and any and all other persons and organization for information bearing upon my qualifications for employment. I further authorize the listed employers, schools and personal references to give the Company (without further notice to me) any and all information about my previous employment and education, along with any other pertinent information they may have.

4. I expressly agree and understand that, if employed, my employment, having no specific term, is based upon mutual consent and may be terminated at will, with or without cause or notice, by either party (the Company or me). I also understand that this aspect of my employment, which includes the Company's right to demote or otherwise discipline with or without cause or notice, may not be changed, modified, amended or rescinded except by an individual written agreement signed by both me and the President of the Company.

I acknowledge that I have read all of the above statements and that I understand them. In addition, the statements above supersede and replace any prior understandings or discussions I have had with the Company and set forth the complete agreement between me and the Company regarding these matters.
I Agree

I Do Not Agree
   

 

Corporate Office

1551 N. Tustin Ave.
Suite 650
Santa Ana, CA 92705

Main Line: 714.619.9700
Toll-Free: 866.UPS.1965
Exce. Fax: 714.619.9701












































































































































































































Copyright © Universal Protection Service, 2005