APPLICATION FOR EMPLOYMENT

Please complete all blanks with the required information.

Resumes may accompany completed applications.

A.S.A.P. Additional pages may be attached to complete the required

information.

Your interest in employment with A.S.A.P Secured Inc. is greatly appreciated. Due the highly sensitive nature of
our industry, it requires that certain searching questions be asked. Should your application proceed to the next level, the
information you provide will be subject to verification and will be treated in strictest confidence.

Date: / /
MM DD YY

Surname:

First Name: Middle Initial:

Residence Telephone #: ( ) Cellular Telephone #: ( )

Address:

City: Province: Postal Code:

How long have you resided at the above address:

Email Address:

1. Are you legally entitled to work in Canada? YES NO

2. Are you willing to travel within Ontario? YES NO

3. Are you willing to travel within Canada? YES NO

4. Are you willing and able to work shift work? YES NO

(which may include weekends, night shifts and holidays)
If No, when would you not be able to work?

5. Have you ever been previously employed by A.S.A.P Secured Inc? YES NO

If yes, please specify location, dates and position:

If you are applying for a position as a Security Guard / Private Investigator:

6. Have you ever been previously employed by another Licensed Security company? YES NO

If yes, list company, position and dates:

7. Have you ever been previously employed as an “In-House” Security Guard by any organization?
YES NO

If yes, list company, position and dates:

(use separate sheet if extra space is required)

APP.FORM-001 REV. APRIL 2009

8. HOURLY POSITIONS:

Position applied for:

How did you hear about this position:

Have you previously held supervisory / management positions: YES NO

9. MANAGERIAL / ADMINISTRATIVE POSITIONS:

Position applied for:

How did you hear about this position:

Have you previously held supervisory / management positions: YES NO

Applicants applying for positions requiring word processing and/or typing skills must take the requisite test.

10. EMPLOYMENT HISTORY

Please list in date order, starting with your current or most recent position, all previous employers (include
Canadian military service if applicable) for the past 3 years, or since you left school, use separate sheet if necessary).

A. Employer’s Name: Name of Supervisor:

Address: Telephone #:

Dates of Employment—From To Position Held:

Main Duties:

Reason for Leaving:

Rate of Pay: May we contact this Employer? YES NO

B. Employer’s Name: Name of Supervisor:

Address: Telephone #:

Dates of Employment—From To Position Held:

Main Duties:

Reason for Leaving:

Rate of Pay: May we contact this Employer? YES NO

C. Employer’s Name: Name of Supervisor:

Address: Telephone #:

Dates of Employment—From To Position Held:

Main Duties:

Reason for Leaving:

Rate of Pay: May we contact this Employer? YES NO

APP.FORM-001 REV. APRIL 2009

EMPLOYMENT HISTORY CONTINUED

11. Have you ever been self-employed? YES NO

If so, please list the name, address and nature of your business.

12. SECURITY CLEARANCE:

Have you ever been fingerprinted in the past? YES NO

Has security clearance been denied to you in the past? YES NO

Has a Security Guard or Private Investigator License been denied to you in the past? YES NO

If yes, specify:

13. EDUCATION

Please indicate highest grade level completed:

Secondary School 9 10 11 12 13 Diploma Obtained? YES NO

Community College University

License, Certificate or Diploma Obtained? YES NO

Specify:

Business or Trade School YES NO

Specify:

14. List any special skills, attributes, certifications, or courses taken in addition to the above:

15. LANGUAGES

Please indicate any verbal or written language skills you may possess.

Languages Can Speak Fluently Conversational Only Write/Read Fluently

APP.FORM-001 REV. APRIL 2009

NOTE: The following questions are asked for the purpose of frank, confidential discussion at the time of an
interview, in advance of routine inquiries, which are made as a matter of standard policy. An affirmative
answer will not disqualify you from consideration of employment.

16. Have you ever been convicted of a criminal offense, in any Province, for which a pardon has not
been granted? YES NO

If yes, when?

DRIVING HISTORY

Driver’s Licence #: Province of Issue:

Expiry Date: Class:

18. Please list any driving restrictions you may be subject to:

19. List all traffic violation convictions in the last five years: (Applicants who may be utilized to operate
company vehicles will be asked to provide a Driver’s Abstract from the Ministry of Transportation)

1. 2. 3.

4. 5.

20. How many vehicle accidents have you been involved in the last five years?

21. Have you participated in any driving instruction or course within the last five years?
If so, give details:

Upon the offer of employment by the company and my acceptance of said offer, I hereby agree to protect and
immediately indemnify and hold harmless the company and/or its insurers against any and all losses, liabilities, costs,
damages, charges, and expenses of whatsoever kind and nature it may sustain or become liable for by reason of any
dishonest or fraudulent act(s) committed by me during the course of my employment with the company, including
counsel and/or attorney fees which it may incur in connection with any litigation resulting from such acts. I further
agree that all vouchers and other such evidence of payment in respect to such loss, liability, costs, damages,
charges or expenses of whatsoever kind and nature incurred by the company or its solicitors or attorneys shall be
taken as conclusive evidence against me and my estate of the fact and extent of my liability to the company provided
that such payment shall have been made by the company and/or its insurers in good faith believing itself to have
been liable therefore.

Applicant Signature:

Date:

APP.FORM-001 REV. APRIL 2009