Inner Parish Security Corporation

Online Job Application (Electronic Security)

Please complete the application form below and click Send Application

* indicates required fields

To: Inner Parish Security Corporation - Human Resources

Contact Information

First Name *

Middle Initial

Last Name *

Address 1

Address 2

City

State/Province

Zip/Postal Code

e-mail Address

Home Phone *

Cell Phone

Page Number

Birth Date

(mm/dd/yyyy)

Position Information

Have you worked for IPSC before?

Yes No

If yes, Month & Year (mm/yyyy)

Location

Position Desired

Dispatcher Installer Technician

Pay Desired

Date Available

(mm/dd/yyyy)

Are you available for
full-time work?

Yes No

Will you work overtime if asked?

Yes No

Have you ever been convicted of a felony?

Yes No

Please list any traffic/accident violations in the last five years. *

*A copy of your driving record will be acquired by IPSC.

Education

School	Location	Course Study	No. Years completed	Did you graduate?	Degree or Diploma?
College				Yes No
Business Trade Technical				Yes No
High School				Yes No
Are you NFPA licensed ?	Yes No	If so what level?
List any additional educational classes that you feel would be pertinent to this position:

Personal References (no relatives or previous employers)

Reference One

Name
Address
Phone Number

Reference Two

Name
Address
Phone Number

Reference Three

Name
Address
Phone Number

Previous Employment
(include the past 10 years, full-time and part-time, beginning with your present or most recent employer)

Employer One
(present- most recent)

Name
Address
Supervisor
Phone Number
State job title and describe Job duties
Employed	From (mm/yy) To (mm/yy)
Weekly Pay	Start Last

Employer Two

Name
Address
Supervisor
Phone Number
State job title and describe Job duties
Employed	From (mm/yy) To (mm/yy)
Weekly Pay	Start Last

Employer Three

Name
Address
Supervisor
Phone Number
State job title and describe Job duties
Employed	From (mm/yy) To (mm/yy)
Weekly Pay	Start Last

Military

Did you serve in the U.S. Armed Forces?

Yes No

If yes, in what branch

Describe any training received relevant to the position for which you are applying.

How did you hear
about us?

Search Engine (i.e. Google, Yahoo...)
Link From Another Web Site
Newspaper / TV / Ad
Business Colleague or Acquaintance
IPSC Employee
IPSC Client


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IPSC • 43222 Pecan Ridge Drive • Hammond, LA 70403
Phone: (985) 542-7960 or (800) 446-0698

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