APPLICANT NOTE: This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely, accurately, and honestly. False or misleading statements during the interview and on this form are grounds for terminating employment. All qualified applicants will receive consideration without discrimination. Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment. After an offer of employment, and prior to reporting to work, you may be required to submit a medical review. Depending on company policy and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.

Today's Date (required)

Applicant's Name (required)

SSN# (required)

Home Phone (required)

Cell Phone

Message Phone

Other Phone

Your Email (required)

Current Address (required)

What position are you applying for? (required)

What date can you start? (required)

What do you prefer? (required)

What times/shifts are you available to work? (required)
check all that apply

Do you have any restrictions, religious beliefs or practices affecting when you can work?* (required)
*Reasonable efforts will be made to accommodate religious beliefs or practices.

Salary desired (required)

How were you referred to this company? (required)

Do you have a valid driver’s license? (required)

Do you have a current security license or certification? (required)

Do you have any criminal convictions and/or arrests, including citations for criminal offenses? If so, please describe the circumstances below. (required)
Arrests and/or Convictions will not necessarily be a bar to employment. In accordance with company policy and applicable state and federal laws, factors such as age at time of the offense, remoteness of the offense, time since last conviction, nature of the job sought, rehabilitation effort, and the relevance of the offense to the position(s) applied for may, however, be considered.

List all moving driving violations in past 7 years. (required)

Has Your Driver’s License Or Driving Privilege Ever Been Suspended, Revoked, Or Denied? (required) YesNo

List any job related skills, training, knowledge, or experience that may be job related or of value to this company. (required)

List all residences for the past 4 years. (required)

List 3 references, not relatives, who are familiar with you and your work ability. (required)

Education (required)
Name & Address of high school

Graduate YesNo

Name & Address of College

Course of study



Previous Employers (required)
List all employers and their information for past 4 years. Include any gaps in employment. Start with most recent employer. If you have a resume with this information, you do not have to fill out this portion of the application form. attach your digital resume below. We accept, .doc, .docx, .rtf, .pdf.

Military Experience (required)

Essential Job Functions
As a professional security officer, you are required to guard, watch and protect client property and equipment. You may come into contact with individuals wanting to steal, damage, vandalize, or make unauthorized entry to client property. Although your safety should be your first, priority, you must make a reasonable effort to contact these individuals or summon assistance from dispatch, the patrol officer, or the appropriate law enforcement agency. You are not required to engage these individuals if you can articulate why you chose not to do so due to officer safety or where you are physically threatened with bodily injury. There are a number of hazards present with many site locations. You may encounter holes, ditches, walking up and down flights of stairs, construction debris, poor lighting conditions, protruding construction materials, uneven ground, inclement weather, tripping hazards, wild animals, trash, and the like. You will be required to maintain constant vigilance and alertness in the security and protection of the client’s interests. This is accomplished by constant foot patrols and reporting your activities on a daily report form.

If hired, what form of transportation do you have to and from work and/or job locations?

All un-armed officers must be 18+ years of age, must pass a criminal background check, possess a valid washington or oregon state driver’s license, have an operational phone, a dependable form of transportation, and a high school diploma or GED.

All armed officers must be 21+ years of age and meet all requirements for the un-armed officer position. Additionally, you must have valid and verifiable experience, such as prior armed security, military, or law enforcement, possess a valid concealed weapons permit, and have or be able to purchase a duty weapon.

If hired, are you willing to submit to and pass a controlled substance test? (required, this is a condition of employment)

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodations? (required)

If no, please describe the job functions that cannot be performed.

Eclipse security provides uniforms for all officers. Eclipse security does not provide flashlights, duty gear, or other accessory equipment which you must provide at your own expense.

All officers are required to be certified as an unarmed officer first and must complete all state-mandated training and a pre-hire company orientation. All officers are responsible to pay all required license fees to the state and for certification training prior to becoming employed or via payroll deduction.

All employees are required to obtain two sets of fingerprints taken by a licensed fingerprint technician or law enforcement agency. For any driving positions, a copy of your driver’s abstract from the state DOL is required.

Eclipse security does not tolerate any form of discrimination in the workplace or within any of our clients properties by any employee.

Have you used any names or social security numbers other than already given above? If so, please list. (required)

Certification and Release: I certify that I have read the applicant note on this form and that the answers given by me to the forgoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that false information, omissions or misrepresentations of fact called for in this application, whether this document or not, may result in rejections of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer reporting bureaus, to verify any of this information. I release and hold harmless all former employers, persons, schools, companies, and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal substances is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment. I also understand the consumption of alcoholic intoxicants while on duty or reporting for duty after consuming alcoholic intoxicants is prohibited and I am willing to submit to any testing to verify the presence of alcohol in my system.

Applicants Signature (required)
I understand that by writing my name below and submitting this form to Eclipse Security Professionals, LLC that its the same as signing my name.

In conjunction with my application for employment with Eclipse Security Professionals, LLC, hereafter named “Company”, I hereby authorize the Company to conduct a pre-employment background investigation pursuant to the Fair Credit Reporting Act (FCRA). I understand that the nature and scope of this investigation will include a number of sources including, but not limited to, social security, consumer credit, criminal convictions, motor vehicle, and other reports. These reports will include information as to my character, general reputation, personal characteristics, mode of living, and work habits. Information relating to my performance and experience, along with reasons for termination of past employment from various Federal, State, County and other agencies that maintain records concerning my past activities relating to my driving, credit, criminal, civil, education, and other experiences.

I understand that if the Company hires me, it may request a consumer report or an investigative consumer report about me for employment-related purposes during the course of my employment. The scope of this investigation will be the same as the scope of a pre-employment investigation, and that the nature of such an investigation will be my continuing suitability for employment, promotion, or transfer to another position. I understand that my consent will apply throughout my employment unless I revoke or cancel my consent by sending a signed letter or statement to the Company at any time stating that I revoke my consent and no longer allow the company to obtain consumer or investigative consumer reports about me.

I am aware that I have the right under the FRCA to request and receive information on any report received by the Company in conjunction with my application for employment.

I authorize and request any and all agencies, parties, courts and law enforcement agencies contacted by the Company to release information without restriction, reservation, or qualification.

I hereby release the Company, their respective officers, employees and agents from any liability and responsibility arising from preparation of the above described background check, investigation or report, and any resulting outcome or consequences.

The Company will treat any information received as a result of this authorization as confidential and it will only be made available to personnel with a legitimate need to know.

I understand to aid in the proper identification of my file or records the following personal information is necessary.

Drivers License State

Current Address

Applicants Signature for Background Check (required)
I understand that by writing my name below and submitting this form to Eclipse Security Professionals, LLC that I agree to the background check and is the same as signing my name.