Online Application

Eberhard Manufacturing Company

Equal Opprotunity Employer

Application for employment

First Name
Middle Name
Last Name
Street Address
Job Description
Years Experience
Available Start
Willing to work any shift

Have You ever been convicted of any law violation(except Minor traffic violations)?
* An applicant must answer this question unless the record has been expunged (sealed) pursuant to S1842.31 et seq. Ohio Revised Code. The question must nevertheless be answered if the nature of such conviction bears a direct and substantial relationship to the position for which the applicant has applied.
Hire is subject to verification that applicant meets legal age and U.S work permit requirements.


Have you ever worked here before ?
Have you ever worked here before
Have you ever interviewed here before ?
Please list any special skills or qualifications including computer skills, acquired military skills, etc.
If you are an experienced operator of any plant machines or equipment, please list


School Address (City/State) Major Studies Highest Level Completed Diploma, Degree, License or Certificate
High School
Vocational, Business, Etc.
List Any professional designations .

Employment History

Employed From/To Employer Name, Address & Phone (Most recent first) Name of Supervisor Job Duties Description Salary or Wage Reason for leaving
Can we contact your current employer ?

Military Service

Dates of service
Service U.S. Forces


In compliance with federal and state equal opportunity laws.. Applicants are considered for employemnt without regard to race, color, religion, gender, national origin, age, military status, or the presence of a disability which is subject to reasonable accomodation, veteran status, or any other status protected under focal, state or federal laws.


I certify all information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand the falsifications misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I understand submitting an application does not guarantee employment. I further understand should an employment offer be extended by Eberhard Manufacturing such employment with Eberhard Manufacturing is at witli for no specified duration and may be terminated by either Eberhard Manufacturing or myself at any time, with or without cause or notice unless otherwise indicated by an employment agreement.

I understand if offered a position with Eberhard Manufacturing, I may be required to submit to a background check, pre-employment drug screen and a physical as a condition of employment. I understand unsatisfactory results from, refusal to cooperate with, or any attempt to affect the background check, pre-employment drug screen and/or the physical will result in withdrawl of any employment offer or termination of employment if already employed. I also understand, in connection with and as a condition to hiring Eberhard Manufacturing may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics and mode of living. I hereby consent for Eberhard Manufacturing to make that request. Upon written request from me, Eberhard Manufacturing will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to Eberhard Manufacturing and/or any of its representatives, agents, or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information,

I understand that for employment, I agree to the following: I must meet employability requirements of the Federal Immigration and Naturalization Services and submit appropriate documentation to satisfy requirements for completing INS Fom 1-9 and the Homeland Security E-Verify process. I also agree to sign an invention and Confidentiality Agreement, if required.

By signing below I acknowledge I have read. understand and agree to the above statements,


Applicant Consent


(please print name) have read the foregoing Statement and understand

that the pre-employment screening proces indudes a urine test which may disclose the use of drugs or alcohol, or which may indicate substance abuse or chemical dependency.

I consent to such test and to the disclosure of the results to Eberhard Manufacturing for its internal use only.

I release and discharge Eberhard Manufacturing and any laboratory, which performs analysis from any claim or limitation, the testing procedures, the analysis or the disclosure of the results.

I further consent, if hired, to periodic drug/alcohol usage tests and to searches on Eberhard Manufacturing property of lockers, desks, lunch boxes and other areas which may belong or be assigned to me.