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  • Application for Employment

    We are an Equal Opportunity Employer: Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, handicap, veteran status or any other protected status required by law.
  • Your Information

  • Applicant’s Statement

    I,         ,  understand that if IPC hires me, my employment will be for no definite period, regardless of the period of payment of my wages. I also understand that I have the right to terminate my employment at any time with or without notice to IPC, and IPC has the same right to terminate my employment at any time with or without notice to me. No one other than the president of IPC has the authority to modify this relationship or make any agreement to the contrary. Any such modification or agreement must be in writing and signed by IPC’s president.

    I authorize IPC to investigate my driving record, my criminal record, and my credit history, and I understand that an investigative consumer report may be prepared whereby information is obtained through personal interviews with neighbors, friends, and others with whom I am acquainted. This inquiry would include information as to my character, general reputation, personal characteristics, and mode of living. I understand that I have the right to make a written request within a reasonable period of time to receive additional information about the nature and scope of this investigation.

    I grant IPC authority to contact my previous employers and I authorize those employers to disclose to IPC all records and other information pertinent to my employment with them. I also authorize IPC to provide truthful information concerning my employment with IPC to my future prospective employers and I agree to hold IPC harmless for providing such information. I certify that all of the information that I provided on this application and in any interviews will be true and accurate. I understand that if I am employed and any such information is later found to be false or misleading in any respect, I may be immediately dismissed.

    I, {name}, certify that I have read and understand the above statement.

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    Position:      

  • Name:      Relationship:      
    Name:      Relationship:      
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  • Record of Previous Employment

  • Current or Most Recent Employer

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    End Date:      *   *   

      
      

  • Starting Pay:  $      per      
    Final Pay:  $      per  
     

  • Previous Employer 2

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    End Date:              

  • Starting Pay:  $      per      
    Final Pay:  $      per  
     

  • Previous Employer 3

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    End Date:         
      

  • Starting Pay:  $      per      
    Final Pay:  $      per  
     

  • Previous Employer 4

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    End Date:         
        

  • Starting Pay:  $      per      
    Final Pay:  $      per  
     

  • Previous Employer 5

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  • Education

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  • Although Independent Protection Company may keep this application on file indefinitely, this application will be considered current and active for only thirty (30) days. If you wish to be considered for employment after that time, you must re-submit your application for employment.

  • I, {name}, certify that all of the information that I have provided on this application is true and accurate.

    Pick a Date*      *   

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