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Security Job Application & Medical Questionnaire 2026

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Mandatory documents you will need. Security Licence Drivers Licence Drug screen within the last 7 days Recommended documents Blue card
Personal Details
Name*
First Last
Current Residential Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone (Mobile)*
Phone (Home)
Email*
Current Occupation*
Do you currently work for another security company?*
Please list each security company you will continue to work for while being employed by MP Security
Residency
I already reside at*
- Emerald
- Blackwater
- Rockhampton
- Gracemere
I am considering residing at
- Emerald
- Rockhampton

Skills & Licenses
Do you hold a current security license of any state in Australia?*
- Yes
- No
Successful applicants must hold a current security license prior to starting work!
IN 4 Training provides the Certificate II in Security operations that will enable you to apply for a Qld Class 1 security licencehere
Copy of security license (front )*
Max. file size: 256 MB.
Copy of security license (back)*
Max. file size: 256 MB.
Are you the holder of a current driver licence ?*
- Yes
- No
Copy of drivers license (front)*
Max. file size: 256 MB.
Copy of drivers license (back)*
Max. file size: 256 MB.
It is now a requirement to hold a blue card if we are providing patrols, alarm responses or guards at Qld Governement sites. https://www.qld.gov.au/law/laws-regulated-industries-and-accountability/queensland-laws-and-regulations/regulated-industries-and-licensing/blue-card/applications
Are you the holder of a current Blue card?*
- Yes
- No
Blue card (Front)
Max. file size: 256 MB.
Do you have your *own, unshared* transport?*
- Yes
- No
Are you able to make decisions & work unsupervised?*
- Yes
- No
Are you confident in working at night?*
- Yes
- No
Are you confident in working alone at night?*
- Yes
- No
Are you afraid of the dark and/or what is in the dark?*
- Yes
- No
- Not sure
Please outline any reasons why you would be unable to work a 12 hour night shift?*
If you have never worked night shift please declare this.
Are you capable of driving long distances alone (up to 12hrs)?*
- Yes
- No
Are you confident in driving at night alone?*
- Yes
- No
Are you confident in driving in adverse weather conditions on sealed roads or unsealed roads?*
- Yes
- No
- Not sure
Computer, Ipad, Tablet, Smart phone skills:
Microsoft Outlook, Gmail or similar (sending & receiving emails)*
- Yes
- No
- Not Sure
Microsoft Office Excel*
- Yes
- No
- Not Sure
Microsoft Office Word*
- Yes
- No
- Not Sure
Web based forms*
- Yes
- No
- Not Sure
I can use an Ipad or Tablet ?*
- Yes
- No
- Not Sure
I can use a smart phone ( Apple or Android) ?*
- Yes
- No
- Not Sure
Do you have or hold a current competency (within last 12 months) in any of the following courses?
- Crowd Control
- Cash in Transit
- Security Weapons Qualified
- Drug and Alcohol Testing
- Speed Radar Operator
- Other
These are *not* mandatory on application.If you have indicated that you have completed a competency, you must upload copies of card or certificate.
Copy of certificate/Licence for "Security Guard" weapons
Max. file size: 256 MB.
Category A,B,C,D and pistol club Category H are not applicable The Qld weapons Lic must state "Security Guard"
Please list any other competencies you hold that you believe may be applicable.

Employment
Please provide at least 2 work references (3 is preferred). It is the obligation of the applicant to ensure that contact details are current and correct.
First Job
Job Role*
Company name*
Time Period*
Supervisor's Name*
Supervisor's Contact Details*
Second Job
Job Role*
Company Name*
Time Period*
Supervisor's Name*
Supervisor's Contact Details*
Third Job
Job Role
Company name
Time Period
Supervisor's Name
Supervisor's Contact Details
Suitability
Can you foresee any reason that would prevent you from working outside exposed to the natural elements?*
Can you foresee any reason that would prevent you from working full 12 hour shifts continuously?*
Some rosters are rotating day/night 12hr shifts 4 on 4 off
MP Security's roster can be from 1 to 7 days straight and could be rotating day/night, clients expect you to work on public holidays. These may include Christmas day / night, Boxing day or New Years night, New Years day. Good Friday or Easter Monday, show day. Can you foresee any reason that would prevent you from working these days if rostered on to work?*
Can you foresee any changes to your circumstances in the next twelve months that may prevent you from working any of these days if rostered on to work?*
If you do not already live/reside where the work is. Where does you partner intend on working?*
What holidays or days will you not be able to work that you have already planned to have off in the next 12 months?*
Why do you think you should be considered for the position?*

Lifestyle Questionaire & Medical Declarations
Providing accurate answers to these questions will not necessarily impede your selection, but failing to provide accurate answers is likely to lead to non-selection or termination of your application.
You may be required to undertake a full medical examination with a Pre Employment Medical Service (PEMS) provider and include a copy of this document and a copy of your completed medical assessment report when submitting your application to join MP Security.
Date of Birth
Height (cm)*
Weight (kg)*
Health Questions
Have you EVER had asthma, used an inhaler medication or been troubled by shortness of breath?*
- Yes
- No
Do you have diabetes or raised blood sugar levels?*
- Yes
- No
Have you EVER had epilepsy, experienced fits, seizures, convulsions, fainting or blackouts?*
- Yes
- No
Have you EVER had heart disease, heart murmur or irregular heartbeat?*
- Yes
- No
Do you experience chest pain or angina?*
- Yes
- No
Have you EVER been told that you have high blood pressure?*
- Yes
- No
Have you EVER had any injuries that have led you to see a doctor, physiotherapist or chiropractor?*
- Yes
- No
Have you EVER been diagnosed with hepatitis, HIV or AIDS?*
- Yes
- No
In the past two years, have you suffered from migraines or persistent headaches?*
- Yes
- No
Have you EVER consulted a psychiatrist or psychologist?*
- Yes
- No
Please indicate if you have ever required medical treatment for any of the following*
- Serious sight impairment
- Fits, dizziness or blackouts
- Brain Injury
- Psychiatric or emotional problems
- Alcohol or drug related problems
- None of the above apply to me
Have you EVER attempted suicide?*
- Yes
- No
Have you EVER committed self-harm*
- Yes
- No
I am taking prescribed medication for mental health*
- Yes
- No
- Not sure
I am undergoing mental health treatment.*
- Yes
- No
- Not sure
I am undergoing a mental health plan with my doctor*
- Yes
- No
- Not sure
Is there anything else that you would like to declare in regard to your mental health?*
Have you ever been assessed for EEO emergency examination order by your doctor, a psychiatrist or Qld Health*
- Yes
- No
- Not sure
Have you EVER taken a drug overdose?*
- Yes
- No
- Not sure
Have you EVER been diagnosed with any form of cancer, including skin cancer?*
- Yes
- No
Have you EVER suffered from arthritis or any bone or joint problems?*
- Yes
- No
Have you EVER undergone any operations?*
- Yes
- No
Do you have any allergies, including food and drug allergies?*
- Yes
- No
Are you, or should you be, taking any medication from your doctor or from the chemist?*
- Yes
- No
Are you currently receiving treatment for any health conditions?*
- Yes
- No
Do you or should you wear glasses or contact lenses?*
- Yes
- No
If yes, you may be asked to provide an optometrist’s report
Are you colour blind to any degree?*
- Yes
- No
Do you have any trouble hearing?*
- Yes
- No
Do you have any medical conditions that may impede your ability to perform normal body movements (including: kneeling, raising both arms above your shoulder, lifting, carrying, walking, rising unaided to a standing position from a prone position without assistance)?*
- Yes
- No
- Not Sure
Do you smoke?*
- Yes
- No
Do you smoke casually?*
- Yes
- No
Do you know of ANY other circumstances regarding your health and fitness that MIGHT make you unable to carry out the duties of a security officer?*
- Yes
- No
Do you have trouble going to sleep during the day or after a 12hr night shift?*
- Yes
- No
- Not Sure
Do you have trouble going to sleep at night?*
- Yes
- No
Do you believe you are mentally & physically able to perform the work of a security officer?*
- Yes
- No
- Not Sure
I am able to perform night shifts and sleep well during the day*
- Yes
- No
- Not Sure
Please provide information if you have worked night shifts before:
How many night shifts in a row do you honestly believe you can perform before fatigue becomes a problem?*
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
Additional Medical Information
If you answered ‘yes’ to any of the health questions (1 - 24) and are still on medication or undergoing treatment, please provide details:
Details of medical conditions
Please note the condition, details (inc. diagnosis), onset date, any treatment, and the cessation date (month/year).
Fitness
Please provide details of your current exercise schedule including details of the type of activity, frequency and duration of each session.

Declaration
I declare that the information I have provided in this document is correct and complete.
I acknowledge that:
- It is my responsibility to provide all necessary information and documentary evidence required in support of this application;
- Failing to disclose information or providing false or misleading information may result in a determination that I am unsuitable for employment;
- If employed and later found that the information was false, misleading or failed to disclose information, the employment may be terminated immediately when brought to the attention of MP Security.
Waiver
In making this declaration, I authorise that MP Security can retain this Health Questionnaire and any medical reports and I am aware that in the event that my application is unsuccessful, I may request the return/deletion of the Medical Questionnaire and any medical reports.
I agree to the above*
- Yes
- No
Signature

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