Application Form

Department Supervisors (All Shifts)

Growing Glass Fabricator located in Milford, Ohio is seeking hands on, energetic, common sense-oriented Department Supervisors for 1st and 2nd shifts. Prefer 5 years of experience in a supervisorial position at a manufacturing facility, experience in 5S - Lean Manufacturing, Safety background and Quality Control skills are a plus. All of your time will be on the production floor as a “working supervisor” averaging 8-10 hours per day. Teamwork and communication are key to being successful. This position has future potential for major advancement and handsome performance bonuses. Paid Health, Disability and life insurance along with paid Holidays and Vacation.

Personal Information
Employment Desired

Education History

General Information
Employment History

List below, your last four employers. Begin with latest employer first.

Employer #1
Employer #2
Employer #3

Give below, the names of three persons not related you, whom you have known at least one year.

Reference #1
Reference #2
Reference #3


I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give the company any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from the utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

I understand that a consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Filling out the text box below represents a virtual signature and shall be legally regarded as such. Please enter your full name.

7/28/2021 7:43:49 PM