Pre-Employment Application

Safe Haven Defense US LLC

16441 N 90th Street Suite 100-200,

Scottsdale, AZ. 85260

Please answer all questions completely and accurately even if you have included a resume. Failure to do so may result in disqualification of employment application.*

*Safe Haven Defense US LLC is an equal opportunity employer and does not discriminate against or harass applicants, employees or former employees; nor make any employment decisions based on race, color, religion, creed, national origin or ancestry, citizenship status, age, sex (including pregnancy, sexual orientation, or gender identity), marital status, disability, genetic information (including family medical history), military or veteran status or unfavorable discharge from military service, or any other legally protected characteristics. Applicants with disabilities may be entitled to reasonable accommodation under the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on Safe Haven Defense US LLC. Please inform the company’s personnel representative if you need assistance completing this application or to otherwise participate in the application process.

Applicant Information

Legal First, Middle, and Last Name:(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Are you 18 years or older?(Required)

Yes

Are you a U.S. citizen or eligible to work in the United States?(Required)

Yes

Referral Source

How did you hear about Safe Haven Defense US, LLC?(Required)

Do you have any friends, relatives, or acquaintances working for Safe Haven Defense US, LLC?(Required)

Yes

If yes, write name and relationship:

Desired Employment

Have you ever applied to or worked for this company before?(Required)

Yes

If yes, please list date of application/dates worked and position:

Position applying for:(Required)

Desired pay rate/salary:(Required)

What type of work are you seeking?(Required)

Full-time

Part-time

Seasonal

On-call

Do you have reliable transportation to and from work?(Required)

Yes

Are you available to travel out of the state/country from which you reside?(Required)

Yes

On what date can you start working if hired?(Required)

Other than time off for reasons related to your religion, a disability, or a medical condition, are there any days or hours you are unwilling to work?(Required)

Yes

If yes, please explain:

Are you available to work overtime?(Required)

Yes

Employment History

Are you currently employed?(Required)

Yes

Have you ever been terminated or been asked to resign from any place of employment?(Required)

Yes

If yes, please provide company name (s) and details:

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Military and volunteer work may also be included as employment.

Employer Name:(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Supervisor Name:(Required)

Job Title:(Required)

Rate of Pay:(Required)

Hourly

Salary

Start Date(Required)

End Date(Required)

Duties:(Required)

Reason for Leaving:(Required)

May we contact this employer?(Required)

Yes

Second Employer

Employer Name:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Supervisor Name:

Job Title:

Rate of Pay:

Hourly

Salary

Duties:

Reason for Leaving:

Start Date

End Date

May we contact this employer?

Yes

Third Employer

Employer Name:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Supervisor Name:

Job Title:

Rate of Pay:

Hourly

Salary

Duties:

Reason for Leaving:

Start Date

End Date

May we contact this employer?

Yes

Please explain any gaps in your employment history:

References

Please provide at least 1 personal and 1 professional reference not related to you that you have known for at least three years.

Name(Required)

First Last

Company & Position or Relationship(Required)

Phone(Required)

Email(Required)

Name(Required)

First Last

Company & Position or Relationship(Required)

Phone(Required)

Email(Required)

Education/Training

High School(Required)

Address(Required)

City State / Province / Region

Year Graduated(Required)

Degree Earned(Required)

Vocational School/Skills Training(Required)

Address(Required)

City State / Province / Region

Year Graduated(Required)

Degree Earned(Required)

College/University(Required)

Address(Required)

City State / Province / Region

Year Graduated(Required)

Degree Earned(Required)

Job Skills/Qualifications/Credentials

Do you have any special skills, qualifications, experience and/or training you possess for the position for which you are applying?

Yes

If yes, explain:

Positions requiring driving only: Do you have a valid driver license?

Yes

Installation applicants only: Do you have an OSHA 10 or OSHA 30 certification?

Yes

*A “No” answer to this question will not necessarily exclude you from employment.

Installation and Sales applicants only: Do you have a valid Fingerprint Clearance Card?

Yes

*A “No” answer to this question will not necessarily exclude you from employment.

Are you willing to consent to a pre-employment drug screen and background check?**(Required)

Yes

Job Capability

Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodation?(Required)

Yes

At-Will Employment & Application Acknowledgement

Please read carefully before signing. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Safe Haven Defense US LLC to hire me. If I am hired, I understand that either Safe Haven Defense US LLC or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Safe Haven Defense US LLC has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Safe Haven Defense US LLC true and complete information on this application. No requested information has been concealed. I authorize Safe Haven Defense US LLC to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

Type your full legal name as your signature.(Required)

Date(Required)

Resume Attachment

Max. file size: 100 MB.

Disclamers

*Safe Haven Defense US LLC is an equal opportunity employer and does not discriminate against or harass applicants, employees or former employees; nor make any employment decisions based on race, color, religion, creed, national origin or ancestry, citizenship status, age, sex (including pregnancy, sexual orientation, or gender identity), marital status, disability, genetic information (including family medical history), military or veteran status or unfavorable discharge from military service, or any other legally protected characteristics. Applicants with disabilities may be entitled to reasonable accommodation under the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on Safe Haven Defense US LLC. Please inform the company's personnel representative if you need assistance completing this application or to otherwise participate in the application process. **The federal Fair Chance Act (also known as the Fair Chance to Compete for Jobs Act), prohibits both government contractors and federal agencies from inquiring about an applicant's criminal history before making a conditional employment offer, unless a specified exception applies.

EEO-1 Voluntary Self-Identification Form

The Equal Employment Opportunity Commission (EEOC) requires all private employers with 100 or more employees as well as federal contractors with 50 or more employees AND contracts of at least $50,000 complete an EEO-1 report each year. Covered employers must invite applicants and employees to self-identify the data requested below for this report. Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records only accessed by the Human Resources department. If you choose not to self-identify at this time, the federal government requires Safe Haven Defense US LLC to determine this information by visual survey and/or other available information.

Applicant Name:

Date Compleated

What is your gender? (Please check one of the options below)

Male

Female

Nonbinary

Decline to Disclose

What is your ethnicity? (Please check one of the descriptions below corresponding to the ethnic group with which you identify.)

Two or more races (Not Hispanic or Latino): All persons who identify with more than one of the below five races.

American Indian or Alaska Native (Not Hispanic or Latino): A person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment.

Asian (Not Hispanic or Latino): A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.

Black or African American (Not Hispanic or Latino): A person having origins in any of the Black racial groups of Africa.

Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

Native Hawaiian or Pacific Islander (Not Hispanic or Latino): A person having origins in any of the peoples of Hawaii, Guam, Samoa or other Pacific Islands.

White (Not Hispanic or Latino): A person having origins in any of the original peoples of Europe, the Middle East or North Africa.

Decline to disclose.

Are you in the military reserve? (Please check one of the options below)

Yes

Decline to Disclose

Are you a veteran? (Please check one of the options below)

Yes

Decline to Disclose

Do you have a disability? (Please check one of the options below)

Yes

Decline to Disclose

Why work with us?

Professional measuring and installation

Expert anchoring to all frames

Application to existing windows done in hours/days not weeks/months

Security walk-through by law enforcement professionals who help identify locations for security measures

Glass laminate available in a variety of thickness, break strength & tensile strength

Certiﬁed secure by 3rd parties

View Our Products