Economy Systems Inc. - Application for Employment

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It is the policy of Economy Coating Systems, Inc. to assure that applicants are employed, and that employees are treated during employment, without regard to their race, religion, sex, color, national origin, age, disability, or any other classification protected by federal, state or local laws. Such actions shall include: employment, upgrading, demotion or transfer, recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship, pre-apprenticeship and/or on-the-job training.   EEO/AA

Personal Information Last Name First Name Middle Initial Address City State Zip Code Phone Number (ie: 555-555-5555) Email Address Position you are qualified for Referred by Date you can start Rate of pay desired Name/relationship of relatives in our employ Have you filed an application with us before? Yes No Have you worked with us before? Yes No If yes, when and in what position: Do you have a valid driver's license? Yes No Do you have a valid CDL License? Yes No Emergency Contact: Name Relationship Phone Number Have you ever been convicted of a felony? Yes No If yes, please explain:

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