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Online Employment Application

(All Fields Required)

First Name
Middle Name
Last Name
E-Mail Address
Date of Birth
Address Line 1
Address Line 2
City
State ZIP
Contact Phone
Have you lived at this address for 7 years? Yes No

If no, list prior residences by County and State:

County of Residence State Years Resided
Social Security Number
(if not entered here, you must be willing to provide prior to being considered for employment)
Drivers License Number
State of Issue
Which area are you interested in? (Check all that apply) Investigations
Protective Services
Are you willing to travel within a 100 mile radius to complete work assignments? Yes No
Do you hold a current Indiana concealed weapons permit? Yes No
Have you been convicted of any crime, felony or misdemeanor in the last 10 years?

(Do not count traffic violations)

Yes No
If yes, please describe:
How many moving violations have you received in the last 7 years?
Do you currently have 24 hour access to a vehicle? Yes No
If yes, make, model, year, and license plate #
Make
Model
Year
Plate No.
Are you currently a sworn Police Officer in the State of Indiana? Yes No
Have you served in the military?
If yes, explain.
Yes No
How many years of sworn law enforcement experience do you have?
How many years of private security experience do you have?
Do you currently own any security related equipment? (handgun, baton, duty belt, etc.) Yes No
If yes, please describe:
Are you a licensed Amateur Radio Operator? Yes No
Are you a licensed Recovery Agent? Yes No
Are you currently employed?

If yes, explain. If no, please describe your availability. 24 hour availability is a plus, but not required.

Yes No
Please rate your computer expertise on a scale of 1-10 with 1 being "beginner" and 10 being "advanced"
Please describe in detail any security or law enforcement training you may have received, and from which agency. If you are currently a sworn police officer, simply enter "Police Officer" If you have not received any professional training, please enter "none"
Please describe in detail why you think you would be an asset to NCPI.
Please list three professional references not related to you (Name, Phone)
Name Phone
Name Phone
Name Phone

Please note that you must also fax, or e-mail us your resume or work history along with the submission of this application. Our fax number is (888) 220-8757; and e-mail is employment@ncpionline.com.

I understand and agree that by submitting this application I authorize NCPI to verify any information contained in this application before I will be considered for employment.

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