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APPLICATION FOR EMPLOYMENT Mail to: Attn: Office Manager 3910 Teams Valley Road, Hurricane, WV 25526 304.757.7293 We are an equal opportunity employer and do not unlawfully discriminate in employment.
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Obtain the discrimination inquiry form from the appropriate organization or authority.
02
Provide all personal information requested on the form, such as name, contact information, and demographic details.
03
Describe the discrimination incident in detail, including the date, time, location, and any individuals involved.
04
Attach any supporting documentation, such as witness statements, emails, or photographs, if available.
05
Sign and date the form to certify the information provided is true and accurate.
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Submit the completed form to the designated department or individual for further processing.

Who needs discrimination inquiry form?

01
Individuals who believe they have been discriminated against based on their race, gender, age, disability, religion, or other protected characteristics may need to fill out a discrimination inquiry form.
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Discrimination inquiry form is a document used to report instances of discrimination based on race, gender, age, or other protected characteristics.
Anyone who believes they have been discriminated against or witnessed discrimination can file a discrimination inquiry form.
To fill out a discrimination inquiry form, provide detailed information about the incident, including dates, locations, and individuals involved.
The purpose of discrimination inquiry form is to document and investigate claims of discrimination to ensure a fair and inclusive environment.
Information such as the nature of the discrimination, names of witnesses, and any supporting evidence should be reported on the discrimination inquiry form.
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