Name

Email Address

Phone Number

City and State of Residence

Do you have prior work experience doing any of the following: Certified Flagging, Law Enforcement, Traffic Enforcement, or Military Service? If YES, please specify your employer(s), job title(s), and length(s) of employment

Are you legally authorized to work in the United States?
YesNo

Do you have a NYS Security Guard License?
YesNo

Do you have a valid, unexpired Flagger certification?
YesNo

Do you have a valid, unexpired OSHA-30 Construction certification?
YesNo

Do you have a valid, unexpired Site Safety Training (SST) card?
YesNo

Are you able and willing to travel throughout the five boroughs of New York City?
YesNo

Please provide a description of your current availability to work (days of the week, shift times, locations, etc.)

Were you referred by a current or former SSPTMS employee? If YES, who referred you?

If you were NOT referred by a current or former SSPTMS employee, how did you learn about SSPTMS?