NexusTrac

1. Applicant Information

First Name *

Last Name *

Full Legal Name (as it appears on your ID)

Email *

Phone *

Date of Birth

SSN (last 4)

Last 4 digits only. Full SSN collected later on a secure I-9 form.

Driver's License #

Driver's License State

Address

Address Line 2

City

State

ZIP

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Relationship

2. Position

Position Applied For

Employment Type

full-time

part-time

contract

Desired Pay Rate

Earliest Start Date

3. Texas Licensing

Do you currently hold a Texas PI license?

yes

no

applying

License Type / Class

License Number

License State

License Expiration

Are you eligible to register with TX DPS under our company?

Yes

No

Have any licenses ever been revoked or suspended?

Yes

No

4. Investigative Experience

5. Specialized Skills

6. Technology Proficiency

7. Vehicle & Equipment

8. Criminal History

A prior record is NOT an automatic disqualifier. Failure to disclose is.

Ever convicted of a felony?

Yes

No

Ever convicted of a Class A or B misdemeanor?

Yes

No

Currently under criminal investigation?

Yes

No

If yes to any above, please explain (dates, charges, disposition)

9. Education

10. Most Recent Employment

Total Years Relevant Experience

Prior Agency / Employer

Role / Title

Start Date

End Date

Supervisor Name

Supervisor Phone

Reason for Leaving

Relevant Certifications

10a. Military Experience

I have military service experience

10b. Law Enforcement Experience

I have prior law enforcement experience

11. Professional References

Three references, not related to you.

Reference 1 — Name

Reference 1 — Relationship

Reference 1 — Phone

Reference 2 — Name

Reference 2 — Relationship

Reference 2 — Phone

Reference 3 — Name

Reference 3 — Relationship

Reference 3 — Phone

12. Additional Information

Why are you interested in working with Nexus?

Availability Notes (travel, weekends, nights)

13. Background Check Consent

Required for all investigator hires.

I authorize Nexus Investigation Agency to conduct a full criminal background check.I authorize verification of my driving record.I authorize contact with my references and prior employers.I authorize verification with TX DPS / licensing boards as applicable.I consent to pre-employment and random drug testing.

Type your initials to confirm consent

14. Confidentiality Agreement

I understand that all case, client, subject and agency information is strictly confidential, and I agree not to disclose any such information during or after my employment with Nexus.

Type your initials to confirm

15. Certification & Signature

I certify that the information provided on this application is true, accurate and complete to the best of my knowledge. I understand that any false statement, omission or misrepresentation is grounds for rejection or, if hired, immediate termination.

Typed Signature (Full Legal Name) *

Date *

Apply to Nexus Investigation Agency