Engineered Plastic Components Inc.
202 First Street South, Kalona, IA, 52247, 319-656-3101
Application for Employment
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Are you 16 years of age or older?
Yes
No
Have you ever been employed by EPC? Please answer yes or no, if yes please state dates of previous employment.
Please list your last 4 employers, starting with the most recent one first. Give Month/Year from start to end of employment; Name & Address of employer; Supervisors name & Phone #; Position held; and reason for leaving for each of the 4
Date you can start
Shift you desire
Position you are applying for
Please Select
Production Associate
Utility
Mold Setter
Technician
Maintenance
Entry level position is Production Associate
Signature
Continue
Continue
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