Online Application

Inland Companies is an equal opportunity employer. The following information is requested in order to help us make the best possible placement within the company. All portions of this application pertaining to you must be completed.

We appreciate the time you spend in completing this application form. The company, in accordance with local, State, and Federal laws, does not discriminate on the basis of age, race, religion, color, sex, national origin, marital status, sexual orientation, disability, status with regard to public assistance, or any other protected classification.

Personal Information
First Name		Address
Last Name		City
Middle Inital		State		Zip
Phone #		How long at current address?
Alt. Phone #			Years
E-mail

Are you under 18 years of age?		NO YES
Are you legally entitled to work in the United States?		NO YES
Have you ever plead guilty or no contest or been convicted of a misdemeanor, gross misdemeanor or felony? *		NO YES
If yes, state nature of offense, when, where, and disposition: *A conviction record will not necessarily be a bar to employment. This information will be used only for job-related purposes and only to the extent permitted by applicable law.

Employment Desired
Position for which you are applying:
Where did you learn of this position?
Compensation expected:	$		per year

What days of the week can you work?			Mon		Fri
			Tues		Sat
			Wed		Sun
			Thurs

What hours can you work?
If your application is considered favorably, on what date are you available to start work?		Select One January February March April May June July August September October November December	Select One 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Have you ever applied for a job with the company?		NO YES
If yes, where and when?
Have you ever worked for the company before?		NO YES
If yes, where and when?

Education
EDUCATION	SCHOOL NAME	ADDRESS	NO. OF YEARS  ATTENDED	DEGREE	MAJOR
High School
College
Graduate
Other
Do you have any professional licenses, certifications or designations?

Former Employers
Please list in order, starting with your current employer.
Dates (mm/dd/yy)		From:	To:
Employer Name
Employer Address
		City     State     Zip
Phone #
Job Title
Job Duties
Supervisor
Pay Rate		From:	To:
Exact Reason for Leaving
May we contact them?		NO YES

Dates (mm/dd/yy)		From:	To:
Employer Name
Employer Address
		City     State     Zip
Phone #
Job Title
Job Duties
Supervisor
Pay Rate		From:	To:
Exact Reason for Leaving
May we contact them?		NO YES

Dates (mm/dd/yy)		From:	To:
Employer Name
Employer Address
		City     State     Zip
Phone #
Job Title
Job Duties
Supervisor
Pay Rate		From:	To:
Exact Reason for Leaving
May we contact them?		NO YES

If you do not agree with the following statement, please do not submit.

I certify that the information contained in this application is correct to the best of my knowledge, and understand that falsification of this application in any detail is grounds for disqualification from further consideration or for dismissal from employment in accordance with company policy. I agree to conform to the company guidelines and rules of the company and understand that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either the company or me. I further understand that no personal recruiter or interviewer or other representative of the company, other than the President of has authority to enter into any agreement for employment for any specified period of time.