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Employment Application
Evergreen Protective Security Guard Services
Evergreen Protective Services
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Evergreen Protective Services

Corporate Headquarters
9111 Edmonston Rd
Suite 304
Greenbelt MD, 20770

Tel:
301-577-3175

Fax:
240-473-1322

Joint-Venture Opportunities

*SBA 8(A)Certified Business
*Small Disadvantaged Business
*GSA Schedule (Pending)
*HUBZone Firm
*MBE, SLBE, LDBE

Evergreen Online Application for Employment

Please fill out our Employment Application Form below.
Filter Type:

General Information

Please provide us with the following information, please note that areas marked with (*) are required to be filled.
First Name:*
Middle Name:*
Last Name:*
Gender:*
SSN:* (000-000-0000)
Home Phone Number:*
Cell Phone Number:*
Work Phone Number:*
Email Address:*
Home Address:*
City:*
County:*
State:* Select a State
Position Desired:*
Location:*
Do You have a DOD Clearance?*
If so, what level?*
Are you currently GSA Certified?*
Date of Certification?*
Number of Guard Years:*
Salary Required($):
Attach Resume or Profile Here
Military Service:*
Date of Application:
Date Available to Work:
Type of Employment:*
Shift Available to Work
Days/Hours Available:
List all Current Certifications, & Licenses (i.e. VA Armed, MD Handgun Permit, DC SPO, 1st Aid & CPR, Unarmed licenses, 1st Aid, CPR, Baton, OC Spray and any other pertinent licenses.):*
Do you have a Valid Driver's License?*
Issuing State:*
Are you 18 years or older?
 Yes No
Are you authorized to work in the United States?* (Proof of eligibility is required)
 Yes No
Have you ever applied to EPS before? (if Yes, provide date)*
 Yes No
Have you ever worked for EPS before? (if Yes, provide date)*
 Yes No
Have you ever been convited of a crime? If you answered yes, give details below.*
 Yes No
Are you willing to participate in a thorough background and drug screen?*
 Yes No

Employment History

List the last three (3) employers starting with the most recent (please include all assignments, volunteer activities, and military training).

Employer 1
Employer*
Address*
City*
State:*
Zip*
Phone*
Job Title*
Supervisor's Name*
May we contact them?*
 Yes No
Salary*
Employment Dates
From:
To:
Reason for leaving:*
Summary of responsibilities/duties:*

Employer 2
Employer*
Address*
City*
State:*
Zip*
Phone*
Job Title*
Supervisor's Name*
May we contact them?*
 Yes No
Salary*
Employment Dates
From:
To:
Reason for leaving:*
Summary of responsibilities/duties:*

Employer 3
Employer*
Address*
City*
State:*
Zip*
Phone*
Job Title*
Supervisor's Name*
May we contact them?*
 Yes No
Salary*
Employment Dates
From:
To:
Reason for leaving:*
Summary of responsibilities/duties:*

Educational Background

Please list the last three (3) schools attended, starting with the most recent.*
Name of School
Address
# of Years
Completed
Major
Did you
Graduate?

Personal References

Please give us at least three (3) references who are NOT related to you, also indicate the number of years you have known them.
Name
Address
Telephone
Relationship
Years
Known

Additional Information

Please provide any additional information which may be useful to your application.
 I certify that all answers above are truthful.*

Affirmation

I hereby certify that the above information is correct and I authorize Evergreen Protective Services to check any records which they may need to verify my employment, credit, driving, medical treatment, or any other records relating to my employment suitability.*
 Yes  No
Date:*
Evergreen Protective Services
Copyright 2008 EVERGREEN Protective Services LLC.