AEGIS Applicant Questionnaire

You will not be considered for any security position within this company if any of the following apply:

  1. You have been arrested OR convicted of a felony within the last 20 years.
  2. Any theft or fraud conviction within the last 20 years
  3. Any arrest or conviction for a crime of violence
  4. Convicted of Domestic Violence
  5. Any arrest or conviction related to a weapons violation
  6. Arrest or conviction of making false statements
  7. Arrest or conviction for any drug offense
  8. Multiple arrests and/or convictions for alcohol related offenses within the last 10 years
  9. Failure to pass a drug test
  10. Failure to have reliable transportation
  11. Failure to have and maintain a phone

A complete background check is performed on all persons considered for employment including the Ohio Bureau of Criminal Investigations (BCI).

Failure to disclose any arrest or conviction is grounds for immediate termination of employment.

I am applying for a position at the following city:

Are you employed now?

Why did you leave your last employer?

Do you have reliable transportation to/from work?

What other name(s) have you gone by or used currently or in the past?

Have you ever been arrested?

Have you ever been convicted of a crime?

If you answered yes to either of the previous questions, explain:

Have you ever used illegal substances?

If yes, when was the last time?
(please enter a date ex: 9/12/2013)

Are you willing to work any day/shift including weekends and holidays?

What is your shift preference?

Some posts may involve walking, climbing stairs, standing and/or sitting for long periods of time. This may include making outside patrols in any type weather, day or night. Are you able to perform these duties?


By submitting this form I certify that the facts contained in this application are true and complete to the best of my knowledge and I understand that, if employed, falsified statements on this application shall be grounds for dismissal.

By submitting this form I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from the utilization of such information.

By submitting this form I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the forgoing, unless it is in writing and signed by an authorized company representative.

Type Name:


AEGIS Protective Service is an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the organization.