Evergreen Protective Services

Corporate Headquarters
Evergreen Protective Services

9111 Edmonston Rd
Suite 304
Greenbelt MD, 20770

Tel:
301-577-3175

Fax:
301-429-3011

Joint-Venture Opportunities

*SBA Certified 8(a) Business
*Small Disadvantaged Business
*Minority Owned Business
*MBE(Pending)
*Hub Zone(Pending)

Please fill out our Employment Application Form below:

Filter Type:

Full Name:

Driver's License #:

Street Address:

City, State, Zip Code:

Home Phone:

Cell Phone:

Military Service:

Yes No

Highest Education:

Years of Experience

Guard

Supervisory

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.):

List all Training Qualifications and number of hours of training attended (i.e. GSA/Homeland Security Training, X-ray Machine Training, Magna Scanner/Handheld Metal Detector Training or any other pertinent security training:

Date Available:

Shift You Can't Work:

Shift Preference:

Previous Employment History: (List the last four employers, starting with the last one first)

From:

To:

Name and Address

Company Phone #:

Supervisor's Name:

Position Held:

From:

To:

Name and Address

Company Phone #:

Supervisor's Name:

Position Held:

From:

To:

Name and Address

Company Phone #:

Supervisor's Name:

Position Held:

From:

To:

Name and Address

Company Phone #:

Supervisor's Name:

Position Held:

Have you been convicted of a crime?

Yes No

If you answered YES to the above question, you must give an explanation, date of occurrence, as well as the disposition of your case:

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: