Employment Application

Inner Security Systems, Inc.
418 Treasure Drive
Oswego, IL 60543
(630) 554-7878


Applicants are considered for all positions without regard to race, color, religion, sex, sexual orientation,  national origin, age, marital or veteran status, or the presence of a non-job-related condition or handicap.

Date:*
Position Applied For:*
Referral Source:*
Name:*
Address:*
Phone:*
-
E-mail:*
SSN: (not required until hired)
Have you ever filed an application here before?*
If Yes, when?
Have you ever been employed here before?*
If Yes, when?
Are you employed now?*
If Yes, may we contact your present employer?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? (Proof of citizenship or immigration status may be required upon employment.)*
On what date would you be able for work?*
Are you able to work:*
Are you on a lay-off and subject to recall?*
Can you travel if the job requires it?*
Have you been convicted of a felony within the last 7 years? (conviction will not necessarily disqualify applicant from employment.)*
If Yes, please explain
Veteran of the U.S. Military service?*
If Yes, Branch
Languages you speak fluently?*
Languages you read fluently?*
Languages you write fluently?*
Give name, address and phone number of three references who are not related to you and who are not previous employers
List professional, trade, business or civic activities and offices held. (you may exclude those which indicate race, color, religion, sex, sexual orientation or national origin:

Special Employment Notice to Disabled Veterans, Vietnam Era Veterans and Individuals with Physical or Mental Handicaps:

Government contractors are subject to 38 USC 2012 of the Vietnam Era Veterans Readjustment Act of 1974 which requires that they take affirmative action to employ and advance in employment qualified disabled veterans and veterans of the Vietnam era, and Section 503 of the Rehabilitation Act of 1973, as amended, which requires government contractors to take affirmative action to employ and advance in employment qualified handicapped individuals.

If you are a disabled veteran, or have a physical or mental handicap, you are invited to volunteer this information.  The purpose is to provide information regarding proper placement and appropriate accommodation to enable you to perform the job to the best of your ability in a proper and safe manner.  This information will be treated as confidential.   Failure to provide this information will not jeopardize or adversely affect your consideration for employment.

If you wish to be identified, please indicate Status below.

Status:

Employment Experience

Start with your present or last job.  Include military service assignments and volunteer activities.
Exclude organization names which indicate race, color, religion, sex, sexual orientation or national origin.

Employer 1

Employer:
Address:
Phone:
-
Supervisor:
Start Date:
End Date:
Start/End Salary:
Work Performed:
Reason for Leaving:

Employer 2

Employer: (2)
Address: (2)
Phone: (2)
-
Supervisor: (2)
Start Date: (2)
End Date: (2)
Start/End Salary: (2)
Work Performed: (2)
Reason for Leaving: (2)

Employer 3

Employer: (3)
Address: (3)
Phone: (3)
-
Supervisor: (3)
Start Date: (3)
End Date: (3)
Start/End Salary: (3)
Work Performed: (3)
Reason for Leaving: (3)

Employer 4

Employer: (4)
Address: (4)
Phone: (4)
-
Supervisor: (4)
Start Date: (4)
End Date: (4)
Start/End Salary: (4)
Work Performed: (4)
Reason for Leaving: (4)

Special Skills and Qualifications

Summarize special skills and qualifications acquired from employment and other experience:
Grade school / highest grade completed:
High school / highest grade completed:
College or University / years completed:
Graduate or Professional school / years completed:
Diploma/Degrees:
Describe specialized training, apprenticeship, skills, and extra-curricular activities
Honors Received:
State any information that you feel may be helpful to us in considering your application:

Applicant's Statement

I certify that the answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. 
I understand the this application is not, and is not intended to be a contract of employment.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.  I understand, also, that I am required to abide by all rules and regulations of the Company.

Check the box below to indicate that you have read and agree to all statements within this application.*
Today's Date:*

All fields marked with a * are required to be filled in.  If the submit button does not send your application, please scroll up and fill in the missing information. Missing information will be marked in RED.