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We consider applicants for all positions without regard to race to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job related medical condition or disability, or any other legally protected status.

APPLICATIONS WILL BE CONSIDERED ACTIVE FOR 30 DAYS. FOR CONSIDERATION AFTER THAT YOU MUST REAPPLY USING THIS ONLINE FORM OR BY STOPPING IN OUR OFFICES AT THE ADDRESS ABOVE TO FILL OUT AN APPLICATION.
 

            Please provide the following information (hit the TAB key to move from field to field).

General Information
First Name   
Last Name   
Middle Initial   
Home Phone   
How Long at Present Address?   
Present Street Address   
Address (cont.)   
City   
State   
Zip/Postal Code   
E-mail   
Resume URL   
Position Applying For   
Date Available   
Who Referred you to us?   
Have you ever been employed by Goodwill?   
If yes to above - When & Where?   
Have you ever been convicted of a felony?    Yes  No
If Yes to above - please explain   

Education Information

High School
High School Name and Address:   

Last grade completed:   

Receive Diploma?   

Yes   No
Subjects Studied:   

College
College Name and Address:   

Years of College completed:   

Receive Diploma?   

Yes   No
Subjects Studied:   

Graduate School
Graduate School Name and Address:   

Years of Grad School completed:   

Receive Diploma/Certificate?   

Yes   No
Subjects Studied or Advanced Degrees:   

Trade/ Business School
Trade School Name and Address:   

Last grade completed:   

Receive Diploma?   

Yes   No
Trade or Business Studied:   

List your Special Skills or Qualifications:   

 
Equipment you operate:   

In case of emergency, notify name   

Phone

Employment History Record:

In the space to the right, please list jobs held with the most current job first. Give the Company Name, Address, Date employed, pay rate, your position, supervisor name and reason for leaving.

 

Of all your jobs, which was most interesting?   

References other than previous employers:

Please provide the Name, Address, and Occupation of three (3) different references other than your previous employers.

 


The schools, companies and persons named in this application may give information regarding me and I hereby release them from all liability for doing so. I understand that employment is conditional upon satisfactory replies from references, including former employers.

I understand that falsification of any information given on this application form shall be cause for rejection of application and prohibit the applicant from any employment whatsoever by Goodwill. Any employee who falsifies application information or who gives false information at the time of the physical examination is subject to immediate termination. If hired, it is recognized that an employee can terminate his/her employment at any time. Goodwill reserves the same right.

Digitally sign this application: Please enter your social security number in the following box and check the "SIGN" checkbox and then click the "SUBMIT FORM" button below to send your application to Goodwill Industries of Wayne and Holmes Counties, Inc.

Digital Signature: Initials   Check this box to sign

Note: Application will not be complete unless you digitally sign this form as outlined above.
 

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