Production Supervisor – 2nd Shift 1509
Production Supervisor - 2nd Shift 1509

Production Supervisor – 2nd Shift 1509


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Personal Information

Are you 18 years of age or older? YesNo

Do you have a valid Driver License? YesNo

Have you ever been convicted or sentenced for any violation of the law? YesNo


Employment Desired

Position Applying For

Date You Can Start

What shift(s) can you work? 1st2nd

What location(s) can you work? 1400 N Cleveland Ave1509 Industrial Ave


Education

Did you graduate Grammar School? YesNo

Select Last Year Completed

Did you graduate High School? YesNo

Select Last Year Completed in College

Did you graduate College? YesNo

Select Last Year Completed in Trade or Business School

Did you graduate Trade or Business School? YesNo


General


Employment History

Most Recent Employment

Start Date     End Date


2nd Most Recent Employment

Start Date     End Date


3rd Most Recent Employment

Start Date     End Date


References

Reference #1

How long have you known this person?

Reference #2

How long have you known this person?

Reference #3

How long have you known this person?

You shouldn't fill this one


Authorization

I authorize investigation of all statements contained in this application. I understand that misrepresentations of information requested is cause for dismissal. Further, I understand and agree that my employment is for definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without case and without any previous notice. I understand that by submitting this application, I agree to submit to medical evaluations and/or medical examinations, including tests for the presence of illegal drugs or alcohol, prior to and during employment. If employed and you quit in less than 90 days, the pre-employment drug screening cost will be deducted from your last paycheck.


By selecting "I accept" below and submitting this application, you are certifying the information provided is accurate to the best of your ability and you agree to the above authorization

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