Name:*
Birth Date:*
Address:
City:
State:
Zip Code:
Phone Number:*
Cell Phone Number:
Email Address:*
Confirm Email Address:*
Do you have a CA State Guard License?
If Yes, what is your license Number?
Do you have any of the following permits/license?
Gun
Baton
CPR
Do you have a Driver's License?
What days are you available to work?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What shifts are you available to work?
8 AM - 4 PM
4 PM - Midnight
Midnight - 8 AM
What date are you available to start?
How many hours are you available per week?
Best time to contact you for phone interview
Gender?
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Other Comments: