City of Cape Girardeau, Missouri

401 INDEPENDENCE
P.O. BOX 617
CAPE GIRARDEAU, MO 63702
Phone: 573-334-1332 Fax: 573-335-7946

Security Guard License Application
Fee:  $25.00

City of Cape Girardeau Seal
Name  ______________________________________________________________________________
Address _____________________________________________________________________________
Phone number ________________________________________________________________________
S.S.N. ____________________           Hair Color _______________             Eye Color_______________
D.O.B. _________________   Weight  __________   Height  ___________   Blood Type______________
Place of Employment ___________________________________________________________________
Applicant's Police Record, if any  __________________________________________________________
___________________________________________________________________________________
 
Letter of Employment Attached  (circle one)      yes       no

Falsification of any information listed above can result in revocation of your license as a security guard.  The $25.00 deposit will not be refunded buy upon approval, will be applied toward your license.

Return Application to:
City of Cape Girardeau
P.O. Box 617
Cape Girardeau, MO 63702-0617		 __________________________________
Signature of Applicant        Date