Security Enforcement & Investigations, Inc.
Pre-Employee Form
Page 2

Continued from Page 1

Are there any skills, experiences or other qualifications you feel would assist you in performing the duties of the position you are applying for:
_________________________________________________________________________

_________________________________________________________________________

LIST BELOW ONE JOB YOU HAVE HELD FOR MORE THAN TWO YEARS.

Employer's Name: _________________________________________________________

Start Date: ___________ End Date: _______________

Supervisor's Name: _______________________________________

Phone #: _______________________________________

Position(s) Held: _____________________________

Duties: _____________________________________________________

Reason for Leaving: ________________________________________________________

S.E.I. SERVICES WILL CHECK EMPLOYMENT HISTORY
_____________________________________________________________________________
I agree that I will follow all company policies, rules, procedures, and all other directions
pertaining to my employment. I understand that SECURITY ENFORCMENT & INVESTIGATIONS, INC.
Reserves the right to add, change, and or delete any policies, procedures, work rules, and or
benefits at any time, without notication to an employee. _____________________________________________________________________________

SS# __________________________________      D.O.B.: ________________________

__________________________________________      ______________
Applicant Signature                                                      Date


[PRINT THIS FORM AND FAX TO (773) 952-4379] or Mail to: The Above Address
(Top of Page) or Email this Form to seidirector@hotmail.com --
(You may also include your Resume)
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