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Integrated Security, Inc. (ISI) is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: ISI is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at ISI are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. ISI will not tolerate discrimination or harassment based on any of these characteristics. ISI encourages applicants of all ages.

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I certify that the facts contained in this questionnaire are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I Authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

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Please list previous 3 employers, staring with the most recent.

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Pre-Employment Questionnaire

Corporate Headquarters

905B South Main St., Ste 102

Mansfield, MA 02048

T (877) 581-7233

F (508) 543-7035

MA Lic. #:166C | MA DPS Lic. #: SSCO-001260 | RI TSC Lic. #:4757 | RI Burg. Lic. #:0267

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