CIS Interview Request Form




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		To schedule an interview for a uniformed services position, please complete and submit the following form. Interview Request Form

Name:
Address:
City:
State:
Zip:
Telephone:
Email:

		Do you possess:
Florida "D" License?		Yes No
Florida "G" License?		Yes No
Valid Florida Driver's License?		Yes No
U.S. Citizenship?		Yes No

		How many years of experience do you have in the following areas?
Private Security?		Years
Law Enforcement?		Years
Military?		Years
Are you a participant in the U.S. Army's PaYS program?		Yes No
Are you willing to submit to a complete background investigation?		Yes No
Tell us about yourself. What qualiifications do you possess that would make you an ideal CIS officer?
Where did you hear about us?

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