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4115 W. Washington
Hillside, IL  60162
1-888-547-6500

 
 
   

 

Online Employment Application

Personal Information

First Name
Last Name
Middle Name
Telephone
SSN#
E-Mail Address
Are you 18 years old or older? Yes     No

 

Current Address
City
State
Zip Code
   
Previous Address
City
State
Zip Code

Education

High School
City/State
Number of Years Attended
Did You Graduate Yes     No
   
College/Trade School
City/State
Number of Years Attended
Major
Did You Graduate Yes     No
   
Other College/Trade School
City/State
Number of Years Attended
Major
Did You Graduate Yes     No
   
US Military Service Yes     No
Currently Active Yes     No
Rank

 

General Information

Position Applied For:    

 

Special Skills
 
Activities
 
Special Interests / Research Work

Employment History
(list employers starting with most recent)

Currently Employed Yes     No
Current Employer
Address
City/State
From / To
Position
Salary
May we contact current employer Yes     No
Phone Number
   
   
Employer
Address
City/State
From / To
Position
Salary
Reason for Leaving
   
Employer
Address
City/State
From / To
Position
Salary
Reason for Leaving
   
Employer
Address
City/State
From / To
Position
Salary
Reason for Leaving

Personal References

Name
Address
City/State
Business
Phone Number
Years Known
   
Name
Address
City/State
Business
Phone Number
Years Known
   
Name
Address
City/State
Business
Phone Number
Years Known

"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.   In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my  or the company's option.  I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with our without notice, at any time by the company.   I understand that no company representative, other than it's President, and then only when in writing and signed by the President, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing."

I agree with these terms Yes, I Agree     No, I don't Agree


Please contact us at 888-547-6500 for information on Employment Opportunities with Eastland Industries