Dynamark Monitoring
525 Northern Ave
Hagerstown, MD 21742
Phone: 855-875-7233   Fax: 240-500-1711
Online Employment Application
Online Employment Application
The field descriptions in BLUE text are required. To download a printable PDF application click here.
Applicant Information
Date and Time:
Website URL (required)
Last Name: First Name:   M.I.:  
Street Address:
City: State:
Zip: Phone:
E-mail: Social Security:
Date Available: Desired Salary:
Position Applied for:
Are you a citizen of the U.S.?: Yes No
Are you legally authorized to work in the U.S.?:
(If hired, you will be required to provide proof of work authorization.)
Yes No
Have you ever worked for this company? Yes No
If so when?:
Have you ever been convicted of a felony?: Yes No
If yes, explain:
 
Education
Name & Location of School Select Last Year Completed Major Course Diploma/Degree
High School
College/University
Other
 
References
Please list three professional references.
 
1. Full Name: Relationship:
Company: Phone:
Address: City/State/Zip:
 
2. Full Name: Relationship:
Company: Phone:
Address: City/State/Zip:
 
3. Full Name: Relationship:
Company: Phone:
Address: City/State/Zip:
 
 
Previous Employment
Please list chronologically, beginning with most recent experience.
 
1. Employer: Phone:
Address/City: Supervisor:
Job Title:
Starting Salary: Ending Salary:
From (MM/YYYY): To (MM/YYYY):
Responsibilities:
Reason for Leaving:
May we contact your previous supervisor for a reference?: Yes No
 
2. Employer: Phone:
Address/City: Supervisor:
Job Title:
Starting Salary: Ending Salary:
From (MM/YYYY): To (MM/YYYY):
Responsibilities:
Reason for Leaving:
May we contact your previous supervisor for a reference?: Yes No
 
3. Employer: Phone:
Address/City: Supervisor:
Job Title:
Starting Salary: Ending Salary:
From (MM/YYYY): To (MM/YYYY):
Responsibilities:
Reason for Leaving:
May we contact your previous supervisor for a reference?: Yes No
 
 
Military Service
Branch:
From (MM/YYYY): To (MM/YYYY):
Rank at Discharge: Type of Discharge:
If other than honorable, explain:
 
Disclaimer Acknowledgement
Please read carefully before submitting your application

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I authorize my previous employers, schools, or persons listed as references to give any information regarding employment or educational record. I agree that this company and my previous employers will not be held liable in any respect if a job offer is not extended, or is withdrawn, or employment is terminated because of false statements, omissions, or answers made by myself on this application. In the event of any employment with this company, I will comply with all rules and regulations as set by the company in any communication distributed to the employees.
In compliance with the Immigration Reform and Control Act of 1986, I understand that I am required to provide approved documentation to the company that verifies my right to work in the United States on the first day of employment. I have received from the company a list of the approved documents that are required.
I understand that employment at this company is "at will," which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I hereby acknowledge that I have read and understand the above statements.

Check this box to certify that you have read and accept the above statement.
 
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