TO APPLY: Fill out the following Application Form honestly and completely. A Blackrain representative will contact you for a face-to-face interview once this application has been reviewed. You must bring valid picture identification.

QUALIFICATIONS: Must be over the age of 18. Must have a clear criminal record (background check will be made) and must be drug-free (drug testing required) Applicant also must have reliable means of transportation. Candidate must be dedicated to performance excellence.
All questions must be answered fully. You are not required to answer questions prohibited by State or Federal law. Be careful to give all the facts.
Applications are fully investigated. False, incorrect or incomplete statements may be cause for your rejection as an applicant or immediate termination after employment.
Blackrain Security Agency is an Equal Opportunity Employer and prohibits discrimination of qualified applicants on the basis of age, race, color, religion,sex, national origin, disability or veteran status.

The mandatory fields are marked with (*)

First Name (*)  

Last Name (*)  

e-mail address (*)    

Phone Number (*)  

Current Addres

Address 1: Street, City, State, Zipcode (*)  

How long in Address 1

Address 2: Street, City, State, Zipcode

How long in Address 2

Are you at least 18 years of age?

If selected, can you verify your legal right to work in the U.S.?

Have you ever been employed by any other security company?

If "Yes", please indicate the company and location:

Security Officer License:

if unarmed , please enter the D license number

License date of expiration

if armed , please enter the G license number

License date of expiration

Other Licenses Or Certifications:

What starting salary do you expect to receive? Salary:

or Hourly:

Please indicate the highest level of education achieved:

Have you ever served in the military?

If yes, which branch?

Dates of Service from


Final Rank

Status of discharge:

Are available for :

What hours can you work?

What Days of the week can you work?

How soon could you begin work?

Do you have a valid Driver License?

Driver License Number:

Driver License State:

Driver License Expiration:

What is your mode of transportation to work?

Have you ever been convicted of a criminal offense which has not been annulled or sealed by a court?

If yes, please explain:

Area of Interest Desired

How did you hear about us?

Which Our Security office would you like to be assigned to?

Other Comments: