ServicesZinc Barrel Plating ServicesHeat Treating ServicesAnodizing ServicesDoerken Coating ServicesPast ProjectsZinc Plating of Steel
Fittings for a Hydraulic
Hose Application
Hard Coat Anodizing of an Aluminum Component for an
Automotive Transmission
Heat Treatment & Doerken
Coating of Steel Hex Flange
Stud for the Automotive
Electrodeposit Zinc Barrel
Plating of Steel Grab Handle for the Residential Trash
Disposal Industry
Heat Treatment and Zinc
Plating of Grade 8 Cap Screw for the Construction Industry

Employment Application

General Information

First Name*
Last Name*
Phone Number*
State / Provence / Region:
Postal / Zip Code
Date Available to Begin
Desired Salary
Position Applying For
Where did you hear about Us?

Shift Preferred
1st 2nd Any
Are you willing to work Saturdays and Sundays?*
Yes No
Are You a United States Citizen?
Yes No
If no, are you authorized to work in the US?
Yes No
Have you ever been convicted of a felony?*
Yes No
Have you ever worked for this company
Yes No
If yes When, Where and Nature of the offense


Name of Institution
City and State of School
Did you graduate?
Yes No
Number of years attended?
Degree Received
Yes No
(Click to add another school)


Full Name
(Click to add another Reference)

Previous Employment

May we contact your supervisor for reference?
Yes No
Starting Salary
Ending Salary
Date Employment Began
Date Employment Ended
Reason for leaving
(Click to add another Reference)

Military Service

Did you serve in the military? Yes No
Rank at Discharge
Date Service Began
Date Service Ended
Type of Discharge
If other than Honorable, please explain:

Unique Skills

Summarize special skills and qualifications from employment or other experience below:
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"I hereby authorize Elm Plating Company, to inquire and verify any information contained in this application for employment. I certify that the information contained in this application is correct to the best of my knowledge. I understand that making any misleading or untruthful statements on this application may result in my being disqualified from consideration for employment or my discharge from employment. I also understand that in order to be considered for employment all portions of this application must be completed by myself. I agree to conform to the rules and regulations of EPC, and understand and agree that my employment and compensation can be terminated at will, with or without cause and with or without notice, at anytime, at the option of either EPC or myself. I further understand and agree that no representative of the company, other than the President by written contract with an individual signed by the President and that individual, has any authority to enter into any agreement, contrary to the foregoing or for other than at will employment. If accepted for employment I understand that this application becomes part of my personnel record."


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