The IPS Group - Application

The IPS Group - Application

THIS APPLICATION IS VALID FOR A PERIOD OF 30 DAYS.
Industrial Performance Services is an equal opportunity employer dedicated to a policy of nondiscrimination in employment upon any basis, including race, color, creed, religion, age, sex, national origin, marital status, military status or disability.

This application is for employment in the industrial field where conditions may regularly require physical activity, lifting, climbing, and working off the ground or exposure to variable climatic conditions.

Please use your smartphone to take a picture of your current TWIC and Basic+ cards. These will be required attachments for the application.
Today's Date

Month Day Year
Date
Date of Birth: *

Month Day Year
Date
Date available for work: *

Month Day Year
Date
SSN - Social Security Number
This field is not mandatory. The IPS Group will use this number to run your application against regulatory databases before considering your application for employment.
Employment Type *
What position(s) are you applying for? *
Days available for work: *
Briefly describe what you would like to achieve with employment at The IPS Group. *
First Name *
Middle Name
Last Name *
Address: *
City *
State *
Zip *
Home Phone:

Area Code Phone Number
Cell Phone: *

Area Code Phone Number
Email
example@example.com
EMERGENCY INFORMATION
Name:
Address:
City:
State:
Zip:
Home Phone:

Area Code Phone Number
Cell Phone:

Area Code Phone Number
Relationship to applicant:

EDUCATION / SKILLS
High School Name: *
Total Years: *
Type of degree received:
Year degree earned:

Month Day Year
Date
Major course of study: *

Graduated Didn't Graduate Received GED
Other School Name:
Total Years:
Type of degree received:
Year degree earned:

Month Day Year
Date
Major course of study:
TRAINING CLASSES
Safety Council
LIST CLASSES AND EXPIRATION DATE.
Related courses and/or site specific training.
LIST CLASSES AND EXPIRATION DATE.
Craft licenses or certification.
LIST CLASSES AND EXPIRATION DATE.

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employeers listed above to give you any and all information concerning my previous employment and any pertinent information they may have personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I alslo understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."
Date *

Month Day Year
Date
Signature

Clear
Should be Empty: