Please enable JavaScript in your browser to complete this form.Please select one *IndividualBusinessOtherName *FirstMiddleLastName of Business or OrganizationTitle or PositionType of OrganizationFor Profit BusinessNon-Profit OrganizationHumanitarianGovernmentLaw Enforcement AgencyOtherBusiness Website / URLEmail *EmailConfirm EmailPhone *International, Please include country codeAddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPositions(s) SoughtInstructorProtective AgentSecurity GuardSurveillance AgentConsultantInterpreterSecurity DriverLogisticsMedical ProviderOtherIf "Other" please explain below:Business Relationship SoughtState Licensing Partner (US)International Licensing Partner (International)Training PartnerPersonnel ProviderLogistics ProviderTransportation providerList the States (US Only) Country and Regions you are licensed/authorized to provide these services: Individual Security LicensingCalifornia Guard CardCalifornia Exposed FirearmsCalifornia Concealed Firearm PermitOther States/Countries please list belowIf "Other" please list below:Professional/Business Licensing (Check all that apply)Business LicenseSecurity Provider LicenseArmed Security ProviderArmored Vehicle Provider/OperatorProtection/Bodyguard ProviderOtherIf "Other" please list below:Medical Certificates ParamedicAdvanced EMTEMTEmergency Medical ResponseFPOSCPR/AEDFirst AidBLS for Healthcare ProvidersCPR/AED For Professional RescuersTCCC - Non Medical PersonnelTCCC - Medical ProviderTECCMedical DoctorRegistered NurseOtherIf "Other" please list below:Language Capability (Check all that apply)EnglishSpanish / EspañolFrench / FrançaisPortuguese / PortuguêsArabic / العربيةRussian / РусскийUkrainian / УкраїнськаChinese / 中文Japanese / 日本語 OtherOther Language(s):Employment EligibilityAre you allowed to work in the US or Country of residence?YesNoAre you 18 or older?YesNoDo you have a High School/Secondary School Diploma?YesNoDo you agree to a background screening?YesNoTravel InformationDo you have a current passport?YesNoPassport 1 - Country of IssuePassport 1 - Date of expirationFormat 12/31/2020Passport 2 - Country of IssueDate of expirationFormat 12/31/2020Primary AirportPrimary Airport CodeExample: JFKSecondary AirportSecondary Airport CodeExample: JFKDo you have any travel restrictions?NoYesIf yes please explain:Military ServiceMilitary Branch?ArmyMarinesNavyAir ForceCoast GuardOtherIf "Other" please explain here?StatusActiveReservePriorYears of serviceLaw EnforcementLaw Enforcement TypeFederalStateLocalOtherStatusActiveReservePriorYears of serviceDisclosure AgreementI certify that my statements in this online profile/questionnaire are true, accurate and complete to the best of my knowledge and belief. 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