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Name of Applicant:

An Equal Opportunity Employer

FPK Office Use Only

Date Received:

Location:

Supervisor:

Date of Hire:

Pay Rate:

Uniform Size:

INSTRUCTIONS FOR APPLICANTS: • This application will be kept active for 60

days

• Please complete the application in your handwriting and fill out all areas even though your resume is attached

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DATE OF APPLICATION:

Please complete in ink.

A. PERSONAL IDENTIFICATION INFORMATION

NAME (Last) (First) (Middle)

HOME PHONE

ADDRESS (Street) (Apt. #) (City) (State) (Zip code) CELL PHONE

EMAIL ADDRESS

B. POSITION OBJECTIVE

POSITION DESIRED

SALARY/WAGE DESIRED DATE AVAILABLE FOR EMPLOYMENT

TYPE OF EMPLOYMENT DESIRED

(If more than one, use numbers to indicate preference) Full-time Part-time On call/Intermittent

HOW WERE YOU REFERRED TO US? Agency

Advertisement (Paper)

Employee (Name of employee)

Other

C. GENERAL INFORMATION

HAVE YOU PEREVIOUSLY BEEN EMPLOYED BY FPK Security Inc. OR ANY OF ITS AFFILIATED COMPANIES? No Yes, employed at: (Company, Branch, Department Name) (Location) (Dates)

PERSONS UNDER 18 YEARS OF AGE MUST SHOW A

WORK PERMIT OR OTHER PROOF OF ELIGIBILITY. IF

HIRED, CAN YOU FURNISH THIS PROOF?

NO Yes

DO YOU HAVE ANY RELATIVES EMPLOYED BY FPK Security Inc.?

No Yes

(Name of Relative) (Relationship) (Branch/Dept. Name Location)

ARE YOU CURRENTLY INVOLVED IN THE MANAGEMENT/OPERATION OF ANY BUSINESS? No Yes (Please explain)

DO YOU HAVE ANY ACTIVE LICENSES (Guard Cards, Sheriff Work card, State)? No Yes (Please explain)

__________________________________________ _____________________________________ __________________________________ (Type of License) (License #) (Expiration Date)

HAVE YOU EVER BEEN FIRED OR DISCHARGED FROM EMPLOYMENT? No Yes (Please explain)

HAVE YOU EVER BEEN CONVICTED OF ANY CRIME? Note: This information is subject to verification. (Exclude from your answer any conviction

for which the record has been judicially ordered, sealed, expunged, or statutorily eradicated.) No Yes If Yes, date of Conviction: Charge:

City/State of Conviction: Misdemeanor Felony

Details:

Note: A conviction will not necessarily disqualify you from employment and each case will be considered on an individual basis.

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D. EMPLOYMENT INFORMATION

1. ARE YOU CURRENTLY EMPLOYED? No Yes – Be certain to list all current employers below. IF YES, MAY WE CONTACT YOUR CURRENT EMPLOYERS? No Yes

2. FURNISH INFORMATION ABOUT EACH PERIOD OF EMPLOYMENT, INCLUDING MILITARY AND/OR VOLUNTEER SERVICE AND ALL EMPLOYMENT.

a) CURRENT EMPLOYER

SUPERVISOR’S NAME

DATE EMPLOYED (MM/DD/YY) From: To:

ADDRESS (INCLUDING ZIP CODE)

TELEPHONE NUMBER

YOUR JOB TITLE

NAME UNDER WHICH EMPLOYED (if different)

DESCRIPTON OF YOUR DUTIES

REASON FOR LEAVING

b) PREVIOUS EMPLOYER

SUPERVISOR’S NAME

DATE EMPLOYED (MM/DD/YY) From: To:

ADDRESS (INCLUDING ZIP CODE)

TELEPHONE NUMBER

YOUR JOB TITLE

NAME UNDER WHICH EMPLOYED (if different)

DESCRIPTON OF YOUR DUTIES

REASON FOR LEAVING

c) PREVIOUS EMPLOYER

SUPERVISOR’S NAME

DATE EMPLOYED (MM/DD/YY) From: To:

ADDRESS (INCLUDING ZIP CODE)

TELEPHONE NUMBER

YOUR JOB TITLE

NAME UNDER WHICH EMPLOYED (if different)

DESCRIPTON OF YOUR DUTIES

REASON FOR LEAVING

d) PREVIOUS EMPLOYER

SUPERVISOR’S NAME

DATE EMPLOYED (MM/DD/YY) From: To:

ADDRESS (INCLUDING ZIP CODE)

TELEPHONE NUMBER

YOUR JOB TITLE

NAME UNDER WHICH EMPLOYED (if different)

DESCRIPTON OF YOUR DUTIES

REASON FOR LEAVING

E. EDUCATION AND TRAINING INFORMATION

School

Attended/ Name

(College, University/Vocational) Address

Year(s)

Attended

Diploma

or

Degree Major Field

High School

Yes

No

Yes No

Yes No

Yes No

U.S. MILITARY (Do not include if you have been out of the military for 5 or more years.)

TRAINING SKILLS ACQUIRED:

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F. SPECIALIZED SKILLS AND KNOWLEDGE

LIST ANY ACHIEVEMENTS OR ACTIVITIES THAT YOU CONSIDER RELEVANT TO YOUR ABILITY TO PERFORM THE JOB THAT YOU ARE APPLYING FOR, SUCH AS AWARDS RECEIVED, MEMBERSHIPS OR OFFICES HELD IN PROFESSIONAL ORGANIZATIONS ETC.

LIST OFFICE MACHINES OR COMPUTER EQUIPMENT YOU CAN OPERATE (e.g. personal computer, typewriter, adding machine, machine transcription, mainframe computer.)

LIST ANY COMPUTER SOFTWARE YOU HAVE USED AND/OR PROGRAMMING LANGUAGES YOU KNOW.

G. CERTIFICATION AND SIGNATURE

Your Signature for the application Date:

Meal / Break Compensated Agreement: I understand that the nature of my work as a security guard at a single person post prevents me from being

relieved of all duties and requires me to remain on-duty during meal periods. I voluntarily agree to work an

on-duty meal period. I understand that any on-duty meal period is to be recorded on my time records as time

worked, and I will be paid for such time. I further understand I am permitted to eat a meal while on duty.

I understand that I may revoke this agreement at any time by providing notice to my supervisor. I also

understand that once I revoke this agreement, I may not work an on-duty meal period without signing a new

on-duty meal period agreement. I understand that it is the Company’s policy that once an employee revokes

an on-duty meal period agreement, the employee is not permitted to execute a new agreement until the start

of a new pay period.

Employee Signature Date

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CONSENT TO RECEIVE COMMUNICATIONS ELECTRONICALLY

Communicating with our employees electronically has many benefits, including environmental sustainability and stewardship; more efficient employee communications; improved data accuracy; and cost-effectiveness. Please read this notice and our electronic communications carefully and contact Human Resources if you wish to obtain any employment, compensation and benefits-related documents as a paper copy. How do electronic communications and actions work? The Company will send certain employment, compensation and benefits-related matters to your company and/or personal email address if you consent and opt to receive documents electronically. It is important that if you opt for electronic communications, you check your email often and check your “spam” or “junk” folder periodically for misdirected messages. Although the Company intends to use electronic communications and actions whenever possible for those employees who consent, we reserve the right to distribute communications and require that employment actions be taken in a non-electronic format, at any time and for any reason, as determined in our sole discretion. Which communications and actions will be electronic? Examples of important employee communications and actions are described below. In addition, the Company may apply this notice to additional documents and actions not listed below, to the extent permitted by applicable law. Not all communications and actions listed below apply to all Company employees; the documents you receive and the actions you take will depend on a number of factors including your job classification, eligibility for benefits under our plans, whether you have elected coverage under our plans, and which coverage you have elected. Employment Notifications From time-to-time, you may receive important notifications regarding your employment with the Company. Some examples include, but are not limited to, details regarding your employment and/or compensation; benefits, payroll notifications; updated policies and procedures; and company announcements. Employee Benefits Offers of Coverage, Enrollment and Document Distribution All health and welfare benefits plan documents and Notices including offers of benefits coverage and enrollment instructions, those required under the Employee Requirement Income Security Act (ERISA), any Notice a similarly situated employee would consider being related to employee benefits, and certain employment and compensation communications, will be distributed electronically to benefits-eligible employees. A Notice is any document, disclosure, policy, procedure, form or other written material required to comply with federal, state, or a governmental safety or regulatory body and any disclosure provided by the company to comply with any of the aforementioned requirements or to communicate company or employment-specific information.

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Consent to Receive Electronic Communications

By signing below, I agree to receive information electronically describing compensation, benefits and employee communications, including but not limited to, the terms and conditions of benefits coverage, coverage options, and costs of coverage under the Company Medical Plan, which will be provided to me electronically. I confirm that it is for my convivence that the Company provides such communications electronically and I understand I am not required to use my personal devices, including mobile telephones or personal computers to access work-related information and may instead elect to receive employee communications in paper format. I understand that by consenting to electronic communications, I will not be reimbursed for the use of my personal devices to access employee communications. I understand that if I cannot access these materials or prefer not to use my personal device to access, I may revoke my consent and/or request for documents to be printed for me by the Company, free of charge, by either notifying my supervisor or contacting Human Resources at (800) 459-4068. I also agree that by using an e-signature feature, I am applying my electronic signature, which is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I also agree that no certification authority or other third-party verification is necessary to validate my e-signature. Date: __________________ Name [Print]: __________________________________ Signature: _____________________________________ Current E-mail Address: _____________________________________________

OR

Should you choose to opt out of electronic communications and continue to receive paper

communications, please initial here: ________. Name [Print]: __________________________________ Signature: _____________________________________

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AUTHORIZATION FOR RELEASE

OF MEDICAL INFORMATION To provide a more accurate test evaluation under FPK Security, Inc. pre-employment drug screening program, I have the option to disclose all prescribed substances I am currently using on the chain of custody form which is completed at the specimen collection site. If I choose to do so, and my test results indicate the presence of a controlled substance, I understand it may be necessary for the company to contact the physician who prescribed the medication in order to verify that the medication has been prescribed for me. I therefore authorize _______________________________________________________________ (the “Physician”) to verify to the company that the medication has been prescribed for me and to indicate the particular medication, in the event that my test results indicate the presence of a controlled substance. This authorization expires thirty (30) days after a decision is made whether to offer or refuse employment to me.

Applicant’s Signature Date

Witness Signature Date

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False information given or implied on an application form is grounds for

immediate dismissal without further notice.

Applicant’s Signature Date

I hereby state that all information provided is accurate and may be verified by you. I agree that I may be discharged if FPK Security, Inc. at any time learns of falsification or material omission in the information provided on this application form and related documents. FPK Security, Inc. may contact my former employer in connection with the consideration of my employment with them. All references are hereby authorized to release all information which they may have relevant to my employment with them. I hereby release FPK Security, Inc., its affiliates, successors, and assigns, and all references from any liability that might be claimed because of information provided by such references. I agree that I will follow all Company policies, rules, procedures, and all other directions pertaining to my employment. I understand that FPK Security, Inc. reserves the right to add, change, and/or delete any policies, procedures, work rules, and/or benefits at any time.

NO CONSIDERATION OF EMPLOYMENT WILL BE GIVEN TO ANY APPLICANT WHO DOES NOT SIGN THE ABOVE STATEMENT.

FIRST 90-DAYS IS CONSIDERED PROBATION PERIOD

IF you do not pass the background part of this application will be terminated immediately.

Note: Additional personal information will be required to complete benefit forms after being hired.

You will also be paid state minimum wage if you do not give a 2 week notice of separation.

Thank you for showing an interest in pursuing a career with FPK Security, Inc.

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PRE-EMPLOYMENT BACKGROUND INVESTIGATION &

Consent to Procure a Consumer Report

I, hereby give authorization to FPK Investigations, to obtain or provide a consumer report, including an investigative consumer report regarding me. I understand this report may involve verifying or reviewing information on my application and/or resume and any and all verbal claims made by me during the evaluation process for employment, promotion or retention.

I understand that Investigative Background Inquiries are to be made on myself including Consumer, Criminal, Driving and other reports. These reports will include information as to my character, work habits, performance and experience along with reasons for termination of past employment from previous employers. Further, I understand that you will be requesting information from various Federal, State and other Agencies which maintain records concerning my past activities relating to my Credit, Driving, Criminal, Civil and other experiences as well as Claims involving me in the files of Insurance Companies.

* P L E A S E W R I T E C L E A R L Y * NOTE: Failing to do could lead to negative results

Print Full LEGAL Name: ______________________________________Gender: __ M __ F

Social Security Number: ______/______/_____ Date of Birth*: ______/______/______ Month Day Year

Driver’s License Number: State:

Current Address: Apt. Number

City: State: Zip:

Current Phone Number:

Current Email Address:

Previous Address:

City: State: Zip:

Applicant’s Signature: Date:

___ I have received, read and understand the “Notice of Intent to Procure Investigative Consumer Report” Initial (Background Check). ___ I have received a copy of “A Summary of Your Rights Under the Fair Credit Reporting Act”. Initial

I understand that if the above named organization requests a copy of my consumer credit report, I have the right under California, Minnesota and Oklahoma law only to receive a copy of that consumer credit report directly from the Consumer Reporting Agency, TransUnion LLC, free of charge. Please check here to have a copy of your Consumer Credit Report sent directly to you by TransUnion LLC at the address listed above.

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FPK Security, Inc

Job Description

Job Title:

Security Guard/Officer

FLSA Status: Non-Exempt

Reports Directly to: Area Supervisor & Corporate Office Representative

Job Summary: ➢ The security guard team member will perform traditional security guard duties as requested in their post

orders and company guidelines. ➢ The primary role of a security guard is to observe & report all breeches of security as defined by the post

orders and company guidelines. ➢ At all times the security guard will maintain a professional appearance and demeanor while performing their

duties.

Essential Job Duties: ➢ Prolonged Standing, Sitting and Walking ➢ Lifting up to 25 pounds ➢ Foot Patrol as described in the post orders for your location and defined as Perimeter Checks which may

include walking up to half a mile without rest ➢ Ability to react to emergent situation(s) which may require running ➢ Must be able to communicate in English ➢ Must be able to write reports in English

Equipment and Skills required: ➢ State required Guard Card ➢ Reliable transportation to and from work ➢ Must have good vision with or without prescription eyeglasses ➢ Reliable contact number for change of schedule information and/or to obtain or relay company information as

needed. ➢ Understand written instructions and general policy statements

Yes, I am able to perform the essential functions as stated above and as described in the post

orders for my location.

No, I am not able to perform the essential functions as stated above and/or as described in the

post orders for my location.

Explain:

Notes:

Printed Name Signature Date

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FPK Security, Inc.

Job Description

Job Title:

Patrol Guard/Officer

FLSA Status: Non-Exempt

Reports Directly to: Supervisor & Management Personnel

Job Summary: ➢ The Security Guard/Patrol Officer are required to acknowledge the Post Orders that apply to the assigned post

before patrolling any assigned area. ➢ The primary role of a Security Guard/Patrol Officer is to observe & report all incidents of security as defined by

the above post orders and company guidelines. ➢ At all times the Security Guard/Patrol Officer will maintain a professional appearance and demeanor while

performing their duties.

Job Duties include but not limited to:

➢ Patrol and monitor the assigned location(s)

➢ Foot/Vehicle Patrol

➢ Standing, Sitting and Walking

➢ Monitor activity at all times while on patrol

➢ Security Officer is to keep a Log Sheet “Parking Permit Require” Vehicle type and vehicle license plate

of cited vehicles

➢ Security Officer is to report any Potential security risks, suspicious activities, loss, hazards or unsafe

conditions, etc.

➢ Security Officer will not discuss security matters with anyone other than their Supervisor and

Management

➢ Security Officer is not allowed to have guests, friends or relatives in the Patrol Vehicle or on the

premises at anytime while on duty

➢ Security Officer is not required to conduct bag searches

➢ Security Officer will not get into a verbal or a physical confrontation with anyone

➢ Security Officer will abide by the uniform requirements

➢ Security Officer will wear property safety equipment

➢ Security Officer must check company equipment out/in at each shift including but not limited to the

patrol vehicle and the Nextel

➢ Ability to Emerge to Situation which may Require Running

➢ Security Officer will refer to post orders for additional duties as their duties vary depending on the

needs of the client(s)

➢ Security Officer is to follow the policies and procedures as described in the Employee Handbook

➢ Security Officer is responsible for maintenance and cleanliness of patrol vehicles

➢ Security Officer will take patrol vehicles for washes as required

Equipment and Skills required: ➢ California Guard Card ➢ Valid California Drivers License ➢ Reliable transportation to and from work ➢ English communication & writing skills ➢ Reliable contact number for change of schedule information and/or to obtain or relay company information as

needed. ➢ Understand written instructions and general policy statemen

_ _ Yes, I am able to perform the essential functions as stated above.

___No, I am not able to perform the essential functions as stated above.

(Explain): Print Name: Signature: Date:

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APPLICATION AGREEMENT

➢ I am a serious potential candidate for employment with FPK Security Inc, who seeks steady

employment. I am trustworthy and I am not "shopping" guard companies.

➢ I will not waste the time and effort put forth by employees of FPK Security, Inc to quit my employment after I have agreed and accepted a schedule.

➢ Therefore, I commit that if I sign this paper and complete my interview, accept uniforms, and accept a schedule, I will work out that schedule.

➢ I understand that I must give my two (2) weeks written notice upon leaving employment. If I do not I will be paid at minimum wage for the last day (s) of employment.

➢ I understand, and agree that it is policy to work through my two (2) week notice of termination.

➢ I understand, and agree that my first 90-day is considered a probation period

➢ I understand that if I fail to give 2 week notice or abandon my post as a result of my actions, the company has to pay additional monies to handle this incident and to staff my position in order to fulfill the contractual obligations it has with its client. I also understand that FPK Security has the option to seek a financial remedy from me in civil small claims court and the law provides this option for a period of one year.

➢ I understand that this is a binding agreement to FPK Security Inc, and by signing below, I agree to all of the above.

Applicant’s Signature Date

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EMPLOYMENT APPLICATION Additional Terms and Conditions of Employment

Initials: I certify that the answers given by me to the foregoing questions and statements on the employment

application and/or during the employment interview process are true and correct without any consequential omissions of any kind whatsoever. I understand that any misleading or incorrect statements may render this application void and, if employed, would be cause for my termination. I further agree that the Company shall not be liable in any respect if my employment is terminated because of falsity of statements, answers or omissions made by me in this application.

I understand that this application is designed for use with several types of jobs and some questions may not

be completely applicable to the position for which I am applying. I authorize the companies, schools, persons or entities given during the employment process, and the

employer (if employed), while employed, or during internal investigations, as references or past employers or affiliations, to give any information regarding my employment, character, qualifications, certifications and licenses, and hereby release said companies, schools, persons or entities from all liability for any damage for issuing this information. A favorable result may be a condition of employment, commencement, or continuation of any employment duties where elements are job-related.

I understand that a background check may be conducted during the employment process and that if

employed; a background check may be conducted periodically as deemed necessary by the employer. I understand that a credit check may be conducted during the employment process and that if employed, a

background check may be conducted periodically as deemed necessary by the employer. I understand that I may be required to have a medical examination and/or drug and alcohol test after an offer

of employment has been made and prior to the commencement of my employment duties as well as any time throughout my employment according to company policy. A favorable result on the medical examination and/or drug and alcohol test would be a condition of my employment or commencement of any employment duties.

I realize that operating conditions may require me to work shifts or work hours scheduled other than the one

for which I am applying and I agree to such scheduling change as directed by my supervisor or the management.

I understand that my employment is not for a specified or definite term and that I may resign, or I may be

discharged at any time, for any reason, with or without good cause and with or without prior notice. I further understand that this policy cannot be changed or amended except by written agreement signed by me and by a corporate officer. I understand that this is an application for employment and that no employment contract is being offered.

I understand that only United States citizens or aliens who are legally entitled to work in the United States are

eligible for employment. My employment shall be in accordance with the terms of this application, all safety and incident reporting rules,

and all other Company rules and regulations. The Company shall have the right to amend, modify, or revoke its rules and regulations at any time. I will familiarize myself promptly with such rules and regulations and will be bound by the rules and regulations now or hereafter in effect.

I certify that as part of the application process, I have been provided with a written job description or have had

the opportunity to review and/or discuss the requirements for the position of .

I certify that I understand each requirement and that I am capable of meeting each and every requirement. Printed Name Applicant Signature Date

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Notice of Intent to Procure Consumer Investigative Report

(Employment Background Check) The Federal Fair Credit Reporting Act (FCRA) and other State Civil Codes require that notice be provided to you that as part of our procedure in processing and evaluating your application for employment, we will be obtaining and reviewing a “Consumer Investigative Report” for employment purposes concerning you. A “Consumer Investigative Report” as described in Section 1786.2 of the California Civil Code, means a consumer report in which information on a consumer’s character, general reputation, personal characteristics, or mode of living is obtained through any means. This can include work habits, work performance and experience, and where applicable, reasons for disciplinary action in or termination of current or past employment. The Consumer Investigative Report will include, except where restricted by law, the following information:

Civil Court Records Employment Verification Professional Reference Interviews Credit Reports Education Verification Social Security Number Verification Criminal Court Records National Sex Offender Verification Worker’s Compensation DMV/MVR Reports Prof. License Verification Other

This report will be obtained through the following Investigative Consumer Reporting Agency: FPK Investigations PO Box 55597 Valencia CA 91385 Phone: (800) 459-4068 Fax: (661) 702-8732 You have the right to obtain a copy of this consumer investigative report by making a written request with proper identification to the above named Investigative Consumer Reporting Agency (ICRA) within a reasonable period of time after receiving this notice. A copy of your file will be made available for a fee not to exceed the actual cost of duplication services provided. If the ICRA procures a credit report regarding you, you have the right under Minnesota and Oklahoma law to receive a free copy directly from the credit bureau.

California Applicants Only: An investigative consumer reporting agency (ICRA) shall supply files and information required under Section 1786.10 during normal business hours and on reasonable notice. Files maintained on you shall be made available for your visual inspection in person if you appear in person and furnish proper identification. By certified mail, if you submit a written request with proper identification and by telephone, if you submit a written request, with proper identification. A copy of your file will be made available for a fee not to exceed the actual cost of duplication services provided. Any telephonic requests that require a toll charge must be prepaid or charged directly to you. Proper Identification shall mean that information generally deemed sufficient to identify a person. Such information includes documents such as a valid driver’s license, social security account number, military identification card, and credit cards. If you are unable to reasonably identify yourself with the information described above; the ICRA will require additional information concerning your employment and personal or family history in order to verify your identity. The ICRA will provide you a trained authorized personnel to explain any information provided to you. Should there be coded information contained in your files the ICRA will provide a written explanation, but, only when the file is provided to you during a visual inspection. You are permitted to be accompanied by one other person of your choosing. This person must identify himself and you must provide written permission to the ICRA in order for the ICRA to discuss your consumer report in such person’s presence. The ICRA may by law withhold any medical information in your files from your inspection until and unless you provide written authorization from your attending physician to inspect the medical information. The ICRA is not required by law to make available to you the sources of information in your files, although such information would be obtainable through proper discovery procedures in any court action brought under Title 1.6A of the Civil Code pertaining to ICRA’s.

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FPK Security, Inc. Office: (800) 459-4068 Fax: (661) 702-8732

A Summary of Your Rights Under the Fair Credit Reporting Act

The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories,

medical records, and rental history records). Here is a summary of your major rights under FCRA. For more

information, including information about additional rights, go to www.consumerfinance.gov/learnmore

or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552.

• You must be told if information in your file has been used against you. Anyone who uses a credit report or

another type of consumer report to deny your application for credit, insurance, or employment – or to take another

adverse action against you – must tell you, and must give you the name, address, and phone number of the agency

that provided the information.

• You have the right to know what is in your file. You may request and obtain all the information about you in

the files of a consumer reporting agency (your “file disclosure”). You will be required to provide proper

identification, which may include your Social Security number. In many cases, the disclosure will be free. You are

entitled to a free file disclosure if:

o a person has taken adverse action against you because of information in your credit report;

o you are the victim of identity theft and place a fraud alert in your file;

o your file contains inaccurate information as a result of fraud;

o you are on public assistance;

o you are unemployed but expect to apply for employment within 60 days.

In addition, all consumers are entitled to one free disclosure every 12 months upon request from each nationwide

credit bureau and from nationwide specialty consumer reporting agencies. See www.consumerfinance.gov/learnmore

for additional information.

• You have the right to ask for a credit score. Credit scores are numerical summaries of your credit-worthiness

based on information from credit bureaus. You may request a credit score from consumer reporting agencies that

create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some

mortgage transactions, you will receive credit score information for free from the mortgage lender.

• You have the right to dispute incomplete or inaccurate information. If you identify information in your file

that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless

your dispute is frivolous. See www.consumerfinance.gov/learnmore for an explanation of dispute procedures.

• Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information.

Inaccurate, incomplete, or unverifiable information must be removed or corrected, usually within 30 days. However,

a consumer reporting agency may continue to report information it has verified as accurate.

• Consumer reporting agencies may not report outdated negative information. In most cases, a consumer

reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more

than 10 years old.

• Access to your file is limited. A consumer reporting agency may provide information about you only to people

with a valid need – usually to consider an application with a creditor, insurer, employer, landlord, or other business.

The FCRA specifies those with a valid need for access.

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• You must give your consent for reports to be provided to employers. A consumer reporting agency may not

give out information about you to your employer, or a potential employer, without your written consent given to the

employer. Written consent generally is not required in the trucking industry. For more information, go to

www.consumerfinance.gov/learnmore.

• You may limit “prescreened” offers of credit and insurance you get based on information in your credit

report. Unsolicited “prescreened” offers for credit and insurance must include a toll-free phone number you can call

if you choose to remove your name and address form the lists these offers are based on. You may opt out with the

nationwide credit bureaus at 1-888-5-OPTOUT (1-888-567-8688).

• The following FCRA right applies with respect to nationwide consumer reporting agencies:

CONSUMERS HAVE THE RIGHT TO OBTAIN A SECURITY FREEZE

You have a right to place a “security freeze” on your credit report, which will prohibit a consumer reporting

agency from releasing information in your credit report without your express authorization. The security

freeze is designed to prevent credit, loans, and services from being approved in your name without your consent.

However, you should be aware that using a security freeze to take control over who gets access to the personal and

financial information in your credit report may delay, interfere with, or prohibit the timely approval of any

subsequent request or application you make regarding a new loan, credit, mortgage, or any other account involving

the extension of credit.

As an alternative to a security freeze, you have the right to place an initial or extended fraud alert on your credit file

at no cost. An initial fraud alert is a 1-year alert that is placed on a consumer’s credit file. Upon seeing a fraud alert

display on a consumer’s credit file, a business is required to take steps to verify the consumer’s identity before

extending new credit. If you are a victim of identity theft, you are entitled to an extended fraud alert, which is a fraud

alert lasting 7 years.

A security freeze does not apply to a person or entity, or its affiliates, or collection agencies acting on behalf of the

person or entity, with which you have an existing account that requests information in your credit report for the

purposes of reviewing or collecting the account. Reviewing the account includes activities related to account

maintenance, monitoring, credit line increases, and account upgrades and enhancements.

• You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer

reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in

state or federal court.

• Identity theft victims and active duty military personnel have additional rights. For more information, visit

www.consumerfinance.gov/learnmore.

States may enforce the FCRA, and many states have their own consumer reporting laws. In some

cases, you may have more rights under state law. For more information, contact your state or local

consumer protection agency or your state Attorney General. For information about your federal rights,

contact:

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TYPE OF BUSINESS: CONTACT:

1.a. Banks, savings associations, and credit unions with total assets of over $10 billion and their affiliates

b. Such affiliates that are not banks, savings associations, or credit unions also should list, in addition to the CFPB:

a. Consumer Financial Protection Bureau 1700 G Street, N.W.

Washington, DC 20552

b. Federal Trade Commission Consumer Response Center

600 Pennsylvania Avenue, N.W. Washington, DC 20580

(877) 382-4357

2. To the extent not included in item 1 above: a. National banks, federal savings associations, and

federal branches and federal agencies of foreign banks

b. State member banks, branches and agencies of foreign banks (other than federal branches, federal agencies, and

Insured State Branches of Foreign Banks), commercial lending companies owned or controlled by foreign banks, and organizations operating under section 25 or 25A of

the Federal Reserve Act.

c. Nonmember Insured Banks, Insured State Branches of Foreign Banks, and insured state savings associations

d. Federal Credit Unions

a. Office of the Comptroller of the Currency Customer Assistance Group

1301 McKinney Street, Suite 3450 Houston, TX 77010-9050

b. Federal Reserve Consumer Help Center

P.O. Box 1200 Minneapolis, MN 55480

c. FDIC Consumer Response Center 1100 Walnut Street, Box #11

Kansas City, MO 64106

d. National Credit Union Administration Office of Consumer Financial Protection (OCFP)

Division of Consumer Compliance Policy and Outreach 1775 Duke Street

Alexandria, VA 22314

3. Air carriers Asst. General Counsel for Aviation Enforcement & Proceedings

Aviation Consumer Protection Division Department of Transportation

1200 New Jersey Avenue, S.E. Washington, DC 20590

4. Creditors Subject to the Surface Transportation Board Office of Proceedings, Surface Transportation Board Department of Transportation

395 E Street, S.W. Washington, DC 20423

5. Creditors Subject to the Packers and Stockyards Act, 1921

Nearest Packers and Stockyards Administration area supervisor

6. Small Business Investment Companies Associate Deputy Administrator for Capital Access United States Small Business Administration

409 Third Street, S.W., Suite 8200 Washington, DC 20416

7. Brokers and Dealers Securities and Exchange Commission 100 F Street, N.E.

Washington, DC 20549

8. Federal Land Banks, Federal Land Bank Associations, Federal Intermediate Credit Banks, and Production Credit

Associations

Farm Credit Administration 1501 Farm Credit Drive

McLean, VA 22102-5090

9. Retailers, Finance Companies, and All Other Creditors Not Listed Above

Federal Trade Commission Consumer Response Center

600 Pennsylvania Avenue, N.W. Washington, DC 20580

(877) 382-4357

18

NOTICE TO ALL APPLICANTS

After submitting the Application, you will be contacted by the Interviewing Supervisor.

Upon Hire: If you have opted to receive electronic communication by signing the “Consent to Receive Electronic Communication Form” (see page 6), you will receive an electronic copy of your FPK New Hire Packet within 24 hours of your hire date. Your continued employment will be contingent on completing and returning the New Hire Packet to the FPK Security Corporate Office within 72 hours of receipt. If you opted out of electronic communication, your New Hire Packet will be mailed to the address you wrote on your Application via USPS mail. Your continued employment will still be contingent upon completing and returning the New Hire Packet to the FPK Security Corporate Office within 72 hours of receipt. If you have any questions, please do not hesitate to contact FPK Security Corporate Office (800)459-4068. Print Name: _________________________________________ Signature: _______________________________________ Date: _________________

Thank you, FPK Human Resources Phone: (800)459-4068 Fax: (800)294-4074 Email: denielle@fpksecurity.com