Providing Timely Solutions to Complex Scenarios

TEMPLAR TITAN …providing timely solutions to complex scenarios.

APPLICATION FOR EMPLOYMENT / DATABASE

CONTACT INFORMATION

First Name: Middle Name: Last Name: Address: City: State: Zip: Country/Region: Date of Birth: Primary Phone: Secondary Phone: Primary Email: Secondary Email:

PERSONAL INFOMATION

Social Security Number: Passport: Work Visa: Drivers License # / State:

Emergency Contact: Emergency Phone: Relationship:

Wife: Phone: Address: City: State: Zip: Country/Region: Date of Birth:

First Child : Phone: Address: City: State: Zip: Country/Region: Date of Birth:

Second Child : Phone: Address: City: State: Zip: Country/Region: Date of Birth:

Third Child : Phone: Address: City: State: Zip: Country/Region: Date of Birth:

Girl Friend : Phone: Address: City: State: Zip: Country/Region: Date of Birth:

Father : Phone: Address: City: State: Zip: Country/Region: Date of Birth:

Mother : Phone: Address: City: State: Zip: Country/Region: Date of Birth: CIVILIAN TRAINING & SKILLS INFOMATION

Rate your skill 1. Basic level of training 2. Intermediate level of training 3. Advanced level of training 4. Instructor

Check Skill Rate Check Skill Rate Check Skill Rate Pistol First Aid English Rifle CPR Arabic Shotgun AED Chinese Mandarin Foreign Weapon First Responder Dari Explosive TCMC French Aquatic Explosive EMT-1 German EMT-2 Greek Mountaineering EMT-3 Hebrew Scuba Diving Paramedic Hindi Sky Diving Italian Tracking Martial Arts Japanese Survival Training Striking Korean Desert Training Grappling Kurmanji Jungle Training Edge Weapons Pashto Urban Training MMA Farsi Rescue Training Portuguese Sniper Computer Russian Word Sorani L.E. Training Excel Serbo-Croatian SWAT Access Spanish PPCT Outlook Tagalog Koga Internet Thai K9 Networking Turkish Baton Urdu OC Uzbek Arrest Control Use of Force Driving Warrant Service Breacher MILITARY TRAINING NAVY Basic Training Leadership School PTRR Foreign Weapon INDOC Explosive Ordinance Disposal BUD/S UAV Operation Free Fall Language School Tactical Air Operations Advanced Special Operations SWCC Land Warfare HALO Close Quarters Combat SQT Urban Warfare Sniper Maritime Interdiction Breacher Combat Swimmer Surreptitious Entry Long Range Interdiction Electronic and Media Exploitation Air Operations Technical Surveillance Special Reconnaissance High Threat Protective Security Maritime Operation Advanced Weapons Training Advanced Marksmanship/Heavy Weapons Advanced Driving Skills Special Boat Squadron Advanced Air Operation HALO/Jump Master Medical Team Diving Supervisor EOD Ranger School Interpreters Range Safety Officer Intelligence/HUMINT Team Instructor School Crypto logical Support Team ARMY Basic Training HAHO MOS: Psychological Operation Group Infantry AIT Civil Affairs Brigade Infantry OSUT LRS Airborne RSTA SOPC Pathfinders SFAS RSLC Q Course Military Intelligence Small Unit Tactics Sabalauski Air Assault School SERE 1st Armored Division 18A 1st Cavalry Division 18B 1st Infantry Division 18C 2nd Infantry Division 18D 3rd Infantry Division 18E 4th Infantry Division Free Fall Parachutist Course 10th Mountain Division Combat Diver 25th Infantry Division SF Sniper Course 82nd Airborne Division Advanced Special Operations Techniques 101st Airborne Division SF Advanced Reconnaissance and Target Exploitation 173rd Airborne Brigade Ranger School 2nd Cavalry Regiment Foreign Weapon 3rd Cavalry Regiment SFOD-D 11th Armored Cavalry Regiment JSOC Marine Corps FMTU Marine Scout Sniper MSOB SRT MCSOSG RRT MSOS SPIE Marine Expeditionary Unit Parachute MEU/SOC HALO/HAHO MOS: CRRC MCT SCUBA SOI SERE BRC/ARS HRST Combat Diver Qualified Ranger Assault Climber Jumpmaster Mountain Leader HRP MILITARY TRAINING (continued) Air Force Coast Guard Fighters Basic Training Bombers MOS: Reconnaissance PWCS Electronic Warfare Counter Drug Law Enforcement Airborne Early Warning Migrant Interdiction Maritime Patrol Marine Safety Transport Ice Operations Tankers Defense Readiness Helicopters Marine Environmental Response Communications Position, navigation and timing Missile warning Weather data Intelligence, surveillance, reconnaissance

WEAPONS

Sidearms: Sidearms: List other Sidearms: Compact Carbines Rifles M9 G17 Mk 18 Mod 0 CQBR M4/M4A1 Carbine M11 G19 XM231/M231 FPW M16A2/A3/A4 Kimber G26 Colt Model 733 HK 416 Carbine MEU(SOC) G22 Colt M723/M725 Sig P229R G27 M14 H&K Mk 23 G20 M14 SMUD Mk 24 Mod 0 G29 GUU-5/P M9A1 G37 Submachine gun: H&K G3 M1911A1 G38 MP5/MP5N M16/A1 HDM G39 MP5K/MP5K-N P9S G21 MP5SD3/5/6 P11 ZUB G30 Uzi S&W Model 10 G36 MAC-10 S&W Model 66 G25 Anti-Tank/assault Grenades Sensors, Lasers, designators Less-lethal Squad automatic weapon/automatic rifle M3 MAAWS M14 AN-PEQ-2/A XM303 M138 FLIPPER M136 M67 grenade AN/PEQ-6 MRCD M58 MICLIC M141 M18 AN/PAQ-3 M128 GEMSS M203A1/A2 M7A3 AN/PAQ-4A/C MK155 Mk 153 M25A2 AN/PAS-13 (TWS) Mk 40 M47 AN/PVS-10 (SNS) M18 Claymore AN/PEM-1 (LBS) FGM148 AN/PVS-4 AN/PVS-5 (NVG) AN/PVS-7B(NVG) AN/TVS-5 Sniper/marksman rifles Machine guns, Missile launchers Mortars Grenade launchers Automatic grenade launchers, auto cannons M14 M249 Squad FIM-92 Stinger M120 120 mm M203 40 mm M21 M2 Family FGM-148 Javelin M121 120 mm MK19 40 mm M24 Sniper M240 Family BGM-71 TOW M224 60 mm mortar M79 40 mm XM25/M25 M60 Family M47 Dragon M252 81 mm mortar M32 Multiple M40A1/A3 GAU-M134 AT4 Mk 141 XM107/M107 GAU-19/A SMAW M82A1M/A3 M242/Mk 38 TOW Mk 11 Mod Mk 19 Mod 3 M72 LAW M110 M61 Family Mk 12 Mod 0/1 M197 SEAL Recon 8/A/GAU-3/A Mk 13 GAU-12/U Mk 14 M230 Mk 15 Mod 0 (SDMR) (SAM-R) (DMR) OTHER TRAINING

List other Training: Skills from Training

EDUCATION

Type of School Name of School Number of Years Major & Degree Completed High School College/University Business or Trade School Professional School

WORK HISTORY

Present or Last Position: Employer: Address: Supervisor: Phone: Email: Start Date: End Date: Responsibilities: Salary: Reason for leaving:

Previous Position: Employer: Address: Supervisor: Phone: Email: Start Date: End Date: Responsibilities: Salary: Reason for leaving:

Previous Position: Employer: Address: Supervisor: Phone: Email: Start Date: End Date: Responsibilities: Salary: Reason for leaving: REFERENCES

Name: Relationship: Years Known: Address: Phone: Occupation: