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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

City

State

Zip Code

Which position are you applying for?

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

Yes

No

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

Weekends

Do you have the flexibility to work additional shifts if necessary?

Yes

No

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

Yes

No

Please upload your resumé

Choose File

What Highschool did you attend?

Do you have a diploma or GED?

Diploma

GED

None

Do you have any degrees or certifications?

Yes

No

Can you provide transcripts or certifications?

Yes

No

Please tell us what you think a day working with individuals with developmental disabilities consists of.

Please tell us why you think you would be a good fit for this position.

How did you hear about this position? Were you referred by anyone? If so, who?

Relevant Employment History

Please provide details about your most recent employer (relevant to this position if possible)

Employer Name

Employer Address

Address Line 1

City

State

Zip Code

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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Home
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Home
Services
About Us
Careers
Donate
- Giving Tuesday Appeal
- Angel Tree

12300 Marshall St, Crown Point, IN 46307

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

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