Employee Application Form

Personal Details
Title*
- Mr
- Mrs
- Miss
Full Name*
Are you known by any other name?*
- No
Physical Address*
Mobile Number
Home Number
Email Address*
Position applying for*
Please select all applicable
- Mobile Patrol Officer
- Static Guard
- Call Centre / Customer Services
- Dispatcher
- Other
Other position

School Qualifications
Name of School
Highest Qualification Completed
Year Completed
Name of School
Highest Qualification Completed
Year Completed
Further Qualifications
Name of Training Provider
Name of Course
Qualification Completed
(if applicable)
Year Completed
Knowledge / Core Skills
(for example, typing speed, system knowledge

Employment History
Previous Employment
Start Date Finish Date Company Job Title Reason for leaving Main responsibilities

Reference Details
References
Name of Referee Company Job Title of Referee Business Contact Number(s)
In making this application, you consent to Matrix Security seeking verbal or written information about your suitability for the position from any of the referees you have supplied above. The referees you provide should include a current/previous manager/supervisor. Character references may be suitable if from a Tutor/Teacher. The information received by Matrix Security from your referees will be handled in the strictest of confidence and will not be disclosed to you.
I consent to Matrix Security contacting my referees*
- I agree

Health and Safety
Do you have (or have you had) any injury, illness or condition (mental and or physical) which may affect your performance in the role?*
- Yes
- No
If yes, please give details
Are you taking any medication which may have an ability to affect your performance in the role (including your ability to drive and/or work rostered shifts if applicable)?*
- Yes
- No
If yes, please give details
Are you prepared to undergo drug and/or alcohol testing as part of your employment with Matrix Security, if required?*
- Yes
- No
Do you consent to medical testing as part of your employment with Matrix Security, if required?*
- Yes
- No
Agreement
I agree and accept that by undertaking certain tasks appointed by the company that it does not constitute a job offer or the commencement of employment and I hereby accept that this is part of the recruitment process.

Acknowledgement
I acknowledge:
1. The purpose of this application form and material associated is to assist with my suitability for the role that I am applying for.
2. The information that I have provided is true and accurate to the best of my knowledge
3. There is no other relevant information that I am willingly withholding
4. That any false or misleading information that I have provided during the recruitment process may eliminate me from consideration or, if hired and the omitted information is divulged, I may be liable for termination.
5. That being unable to obtain a COA may jeopardise my employment application with Matrix Security.
I accept the above agreement*
- I accept
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UTM Parameters
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Page Name
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utm_content

Start Date	Finish Date	Company	Job Title	Reason for leaving	Main responsibilities

Name of Referee	Company	Job Title of Referee	Business Contact Number(s)

Employee Application

Personal Details

School Qualifications

Further Qualifications

Employment History

Reference Details

General Information

Health and Safety

Agreement

UTM Parameters

Title