Goodwill Registration Form
Thank you for your interest in Goodwill supporting you to discover your potential and adapt for the future through the power of work. All Goodwill programs and services are available at no cost. Please enter your contact information below and our team will be in contact with you soon to get started.
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Are you a Goodwill employee?
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If you are a Goodwill employee, please select your location:
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AbiltyOne Federal Building
AbilityOne Ft. Leavenworth
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Race/Ethnicity
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Military History (Please check all that applies)
History of Military
Caregiver of Person with Military History
Has Documented Disabilities
Disabilities Service Connected
Family Member of Person with Military History
Military Service Documented
Highest level of education?
No Diploma or GED
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Vocational Tech Certificate
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Education/certificate or degree type?
Current desired positions or industries?
What is your career goal?
*
Are you seeking?
Full Time
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What is your shift availability?
1st Shift
2nd Shift
Over Night Shift
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Do you need benefits?
Yes
No
Desired hourly wage?
Are you currently working?
Yes
No
If currently working, current wage?
If working, how many hours per week?
What Goodwill programs or services are you interested in? (Check all that apply)
*
Certified Manufacturing Associate (CMfgA) Certification Course
Bridge to Technology
Intro to Welding
Forklift and OSHA 10
Grow with Google Certifications (UX Design, Project Management, Data Analytics, IT Automation with Python, IT Support)
IBM SkillsBuild for Job Seekers
Facebook Social Media Marketing Certification
Digital Skills Training
Reentry Services
Help finding a job
Help getting a device (laptop, tablet)
Help getting connected to the internet
Getting a job at Goodwill
Other Community Resources (not listed above)
Other
Please describe any questions, comments or other support services needed.
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