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How can we help you today?

Your Name

Phone Number

Select a service:

Community Name

Resident Name

Phone Number

Emergency Contact

Emergency Contact Phone

Date Leaving

Date Returning

Resident Address

Is it okay for City patrol to check backyard and enter the home if needed?

Yes No

Are there any automatic lights (if so, where)?

Will any lights be left on inside the home (if so, which ones)?

Is there an alarm in place (If so, what company)?

Will any pets be left in the home or backyard?

Yes No

Will anyone be visiting the home while you are away (if so, who & when)?

Will any vehicles be left in the driveway or the garage (if so, what year/make/model/color)?

Will there be any landscaping/pool services scheduled (if so, what dates & times)?

Full Name

Phone Number

Home Address

What job position are you applying for?

Are you seeking full-time, part-time, or on-call work?

Are you available to work weekends/night/holiday?

Days and times you are available to work

Desired Start Date

Are you legally authorized to work in the U.S.?

Are you at least 18 years old?

Do you have a valid driver's license?

Upload the front and back of your driver's license

Do you have reliable transportation?

Do you have a current security license?

Upload the front and back of your security license

License Number and Expiration date

Do you have any additional certifications you would like to share?

How many years of experience do you have in security?

Previous Employers

Company Name

Job Title

Start Date

End Date

Responsibilities / Duties

Supervisor Name

Supervisor’s Phone Number

Supervisor’s Email

May We Contact This Employer?

Reason for Leaving

Have you ever been convicted of a felony?

Are you willing to submit to a background check and drug screening?

Do you have any physical limitations that could affect your job performance?

Anything you'd like us to know?

Upload Resume (PDF/DOC)

Why do you want to work for City Patrol Services?

"I certify that the information provided is true and complete to the best of my knowledge."

Yes No

Digital Signature

Todays Date

Get Started with City Patrol Services