INTERNAL AUDIT BUREAU

APPLICATION FOR EMPLOYMENT Please Print or Type This application must be completed in its entirety in order to be considered for employment. IAB Solutions LLC is an Equal Opportunity Employer. All qualified applications will receive consideration for employment without regard to race, color, religion, sex, national origin, age, individual disability or veteran status. APPLICANT INFORMATION Last Name First M.I. Date Street Address Apartment/Unit # City State ZIP Phone E-mail Address Date Available Desired Salary Position Applied for How were you referred to IAB Solutions LLC? Are you a citizen of the United States? YES NO If no, are you authorized to work in the U.S.? YES NO Have you ever worked for this company? YES NO If so, when? Have you ever been convicted of a felony? YES NO A conviction will not necessarily bar you from employment. If yes, please state the nature of the conviction, the date of the conviction and your rehabilitation since your conviction. EDUCATION High School Address From To Did you graduate? YES NO Diploma College Address From To Did you graduate? YES NO Degree Other Address From To Did you graduate? YES NO Degree IAB Solutions LLC - 233 Northern Boulevard, Suite 2 – Clarks Summit PA 18411 – Telephone 1-800-742-0014 - Fax 1-866-587-0134 www.iabllc.com EMPLOYMENT RECORD PRESENT OR LAST EMPLOYMENT Employer Phone ( ) Address ...