Employment Application

How did you learn about this job opening? Please check all sources.
Please list an additional phone number where we can leave a Message:

Please answer all questions completely and accurately.
Please check all counties you are available to work in:
Type of work you would accept:
Shift preferred:
Are you legally eligible to be employed in the U.S.?
Are you 18 years of age or older?

(proof of identity and eligibility will be required upon employment)

Driving is a requirement of this position.
Do you have a valid driver’s license?
Do you have access to a reliable vehicle?
Do you have vehicle insurance?
Have you ever been convicted of a crime?
(other than a minor traffic ticket)
If 'Yes', please indicate the nature of the offense, date state and disposition.
A conviction record is not an automatic bar to employment, and the nature, recency, and disposition of the offense will be considered only as it relates to the job for which you are applying. Criminal background checks and child & dependent adult abuse checks are completed prior to offer of employment.

Education

References
Name, address, and telephone number of three references who are not related to you.

Employment Experience
List of 3 most recent employers. Start with your present or last job.
Employer (1)
May we contact the employer listed above?



Employer (2)
May we contact the employer listed above?



Employer (3)
May we contact the employer listed above?
Applicant’s Statement
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. If I wish to be considered for employment beyond this time period, I understand that I need to inquire as to whether or not applications are being accepted at that time.

I hereby acknowledge that any employment relationship with Insight Partnership Group, LLC (IPG), is of an at-will nature, which means that IPG may discharge at any time with or without cause. I understand that neither this document nor any offer of employment from IPG constitutes an employment contract unless a specific document to that effect is executed by IPG and me in writing.

In the event of employment, I understand that false or misleading information given in my application or interview(s) shall be considered sufficient cause for dismissal. I further understand that an incomplete application or an absence of my signature on this application is just cause for rejection of this application. I understand that I am required to abide by all rules and regulations of the employer.
It is the policy of Insight Partnership Group, LLC (IPG), to provide equal treatment to all IPG employees and applicants for IPG employment without regard to race, color, religion, political affiliation, creed, sex, sexual orientation, national origin or ancestry, age, mental or physical disability, marital status, except as bona fide occupational qualifications may require otherwise.

This policy applies to all Human Resources actions and procedures including, but not limited to: recruitment, selections, training, compensation, benefit programs, promotion, demotion, transfer and termination of employment.
Individuals in need of special accommodations are asked to notify our office in advance.
Insight Partnership Group, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.