Inner Parish Security Corporation

Online Job Application (Federal Sector Security Guard)

Please complete the application form below and click Send Application

* indicates required fields

To: Inner Parish Security Corporation - Human Resources

Contact Information

First Name *

Middle Initial

Last Name *

Address 1

Address 2

City

State

Zip/Postal Code

e-mail Address

Home Phone *

Cell Phone

Page Number

Birth Date

(mm/dd/yyyy)

Position Information

Indicate the location you are interested in*

New Orleans
Lake Charles
FEMA

Central Mississippi
Gov't Printing Office
at Stennis Space Center

Iowa - Federal
Protective Svcs

Have you worked for IPSC before?

Yes No

If yes, Month & Year (mm/yy)

Location

Do you own reliable transportation?

Yes No

Make / Model

Position Desired

Pay Desired

Date Available

(mm/dd/yyyy)

Are you available for
full-time work?

Yes No

Will you work overtime if asked?

Yes No

Have you ever been convicted of a felony? *

Yes No

Education

School	Location	Course Study	No. Years completed	Did you graduate?	Degree or Diploma?
College Must supply Transcripts				Yes No
Business Trade Technical				Yes No
High School *				Yes No
GED *				Yes No
Graduate of certified Federal, State, or local law enforcement training academy?				Yes No
Military Police School?				Yes No
Marine Security Guard School?				Yes No

Personal References (no relatives or previous employers)

Reference One

Name
Address
Phone Number

Reference Two

Name
Address
Phone Number

Reference Three

Name
Address
Phone Number

Previous Employment
(include the past 10 years, full-time and part-time, beginning with your present or most recent employer)

Employer One
(present- most recent)

Name
Address
Supervisor
Phone Number
State job title and describe Job duties
Employed	From (mm/yy) To (mm/yy)
Weekly Pay	Start Last

Employer Two

Name
Address
Supervisor
Phone Number
State job title and describe Job duties
Employed	From (mm/yy) To (mm/yy)
Weekly Pay	Start Last

Employer Three

Name
Address
Supervisor
Phone Number
State job title and describe Job duties
Employed	From (mm/yy) To (mm/yy)
Weekly Pay	Start Last

Military

Did you serve in the U.S. Armed Forces? *

Yes No
If yes, in what branch

Years of service *

NOTE: Minimum 3 Years

Do you have a DD214? *

Yes No

What was your military occupational skill?

Describe any training received relevant to the position for which you are applying.

Do you have a military disability?

Yes No
If yes, what percentage?

Federal Requirements

Last 4 digits SSN *

Do you have a Blue Card? *
(LA State Board Certification)

Yes No
If yes, Expiration Date (mm/dd/yyyy)

Do you have a Yellow Card? * (Orleans Commission)

Yes No
If yes, Expiration Date (mm/dd/yyyy)

Are you qualified with a weapon? *

Yes No

If yes, what caliber?

Do you meet the minimum federal age (21) to carry a weapon/firearm in the state of LA? *

Yes No

Have you ever fired a weapon?

Yes No
If yes, how long ago?

Are you comfortable firing/carrying a weapon/firearm?

Yes No

Do you have a valid Drivers License *

Yes No
What state?

NOTE: All out of state applicants will be required to obtain an LA ID Card

Social Security Card/Number *

Yes No

Suitability Badge? *
(SF85P)

Yes No

Do you have a security clearance? *

Yes No
If yes, type Confidential Secret Top Secret

When, where and who issued your clearance?

Are you currently working under the current federal contract in LA or MS? *

Yes No

If no and you have worked under the federal contract, when did you terminate working there?
(mm/dd/yyyy)

If yes, what company do you work for?
What site do you work at?

What distance do you drive to work?

How long have you been working there?

Do you have a law enforcement background? *

Yes No

Are you post certified? *

Yes No
If yes, when & where?

Are you a sworn officer? *

Yes No
If yes, when & where?

How many years are you/were you a police officer?

How long ago did you leave police work?

Were you a corrections officer? *

Yes No
If yes, when & where?

What facility did you work?

How long were you a corrections officer?

Do you have armed security experience? *

Yes No
If yes, when, where, what company?

How long were you an armed security officer?

What weapon did you use?

What was your state score?

Do you have any DUI/DWI convictions? *

Yes No
If yes, when & has it been adjudicated?

Do you owe more than $10,000 in federal taxes? *

Yes No

Do you have any domestic violence convictions? *

Yes No

Do you currently have or have you ever had any PPO's *

Yes No

Do you currently have any CSC issues or pending? *

Yes No

Are you willing to work 12 hrs a day, 7 days a week? *

Yes No

Do you have a Commission Card? *

Yes No
If yes, what company name is on it?

How did you hear
about us?

Search Engine (i.e. Google, Yahoo...)
Link From Another Web Site
Newspaper / TV / Ad
Business Colleague or Acquaintance
IPSC Employee
IPSC Client


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IPSC • 43222 Pecan Ridge Drive • Hammond, LA 70403
Phone: (985) 542-7960 or (800) 446-0698

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