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Job Application

Please fill out the form below to apply for an open position at In-Pact, Inc. Click here to view a list of open positions.

Job Application

Contact Information
Personal Information
Education & Employment History
Submit

First Name

Last Name

Email

Phone Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

Which position are you applying for?

Do you have a valid driving license and a good driving record?

Yes

No

Driver's Licence Number

State of Issue

Have you ever served in the Armed Forces?

Yes

No

Which branch did you serve with?

What was the date of your discharge?

What was your type of discharge?

Have you ever been convicted of a felony?

Yes

No

Please select the location(s) in which you are willing to work

Valparaiso

Crown Point

Merrillville

Hobart

Hammond

Dyer

Please indicate which shifts you are available to work

Days

Evenings

Overnights

Any

Do you have a resumé that details your full education (including highschool) and employment background?

Yes

No

Please upload your resumé

Choose File

What was the name of your Highschool?

What was the address of your highschool?

Address Line 1

Address Line 2

City

State

Zip Code

Country

Do you have a diploma or GED?

Yes

No

Do you have a third level degree?

Yes

No

What was the name of your college?

What was the address of your college?

Address Line 1

Address Line 2

City

State

Zip Code

Country

What was your major?

Please provide details about any other education you may have

Employment History

Please provide details about your 3 most recent employers

Employer Name

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

What was your position?

Dates of Employment

Employer 2

Employer Name

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

What was your position?

Dates of Employment

Employer 3

Employer Name

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

What was your position?

Dates of Employment

General Information to Applicant

Acceptance of employment by In-Pact, Inc. is an acceptance of the policies and regulations of the In-Pact Board of Directors and regulations set forth by the State of Indiana.

The information contained in this application is true to the best of my knowledge and belief. I hereby authorize the State of Indiana or states/counties within I have resided, any individual, company or institution with who I have associated to furnish In-Pact, Inc. with any information concerning my employment or personal background.

Signature of Applicant

Sign Here

Date

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Angel Tree

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Angel Tree

12300 Marshall St, Crown Point, IN 46307

219-662-1905
hello@in-pact.org

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