Independent Contractor Application

To be considered you must provide all information completely and accurately. Please read Applicant Note below. Do not attach any other forms such as a resume. All information is kept confidential and protected. Thank you for your interest in AIBF Public Safety (AIBF PS). Please be sure to read each section and complete thoroughly. Incomplete applications will not be considered.


This application form is intended for use in evaluation of your qualifications as an independent contractor. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment contract is signed, terminating the contract. All qualified applicants will receive consideration without discrimination based on sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, the presence of disabilities, or use of a guide or support animal because of blindness, deafness, or physical handicap. Additional testing of job-related skills and for the presence of drugs in your system may be required prior to employment.

(Please Read Carefully Before registering)

I certify that all statements given on this application and all other information provided are true and accurate, and I understand that falsification, omission, or misrepresentation in this or any other personnel record can result in my termination, if hired as an independent contractor

I authorize verification of all statements contained in this application. I authorize AIBF PS to contact my listed references and to conduct any and all such background investigations as it deems necessary, including, but not limited to, an investigation of police records and a protective services background check.

I authorize any person, school, current or previous employer and organizations including state, local, or federal law enforcement authorities and state agencies, to provide AIBF PS with relevant information regarding my work history and personal background, including, but not limited to, education, professional licensing, criminal history, driving history, personal character, abilities, work habits, mode of living, residency, immigration status, general reputation, performance, experience and other qualities pertinent to my qualifications as a security guard, including reasons for termination from past employment, and I release AIBF PS and all other such persons and organizations from any legal liability in connection with the request for and release of such information.

It is understood that no question on this employment application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state, or Federal law.

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