Goodwill - Application for Employment

First Name*

Middle Initial*

Last Name*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Mobile/Other

Please enter a valid phone number.

Email

example@example.com

Have you ever worked under another name?

YESNO

Please List

Preferred Employment Location

Have you ever lived outside of the state of Ohio (including school attendance)?

YESNO

If yes, when?

Have you ever been employed by Goodwill Industries of Northwest Ohio before?

YESNO

If yes, give date range:

Position applying for:

Time

Full TimePart Time

Shift

DaysEveningsNights

Date you can start:

Date

Do you have any relatives currently working at Goodwill Industries of Northwest Ohio?

YESNO

If yes, please explain:

Who referred you to Goodwill Industries of Northwest Ohio?*

Employment Agency (Please specify below)Placement Service (Please specify below)Walk InNewspaper (Please specify below)Current Employee (Please specify below)Social Media (Please specify below)Other (Please specify below

Please specify:*

Resume (Optional: Attach your resume in addition to filling out the applicable fields below.)

Disclaimer

“Please read the following information and then submit your application.” In support of the Americans With Disabilities Act, Goodwill Industries of Northwest Ohio shall make reasonable accommodations for applicants/employees to the extent required by law to enable such applicants/employees to enjoy the same benefits and privileges as are enjoyed by applicants/employees without disabilities. In filling out this application form, I understand that Goodwill Industries of Northwest Ohio, Inc. is in no way obligated to provide employment to me, also I am not obligated to accept employment. I understand that if a conditional offer of employment is made, I may be required to complete pre-employment tests, and a physical examination which may include a drug and alcohol screening and that any offer of employment is contingent upon the results of these examinations. My acceptance below certifies that all information on this application is correct and complete to the best of my knowledge. I authorize Goodwill Industries and its agents to conduct a background investigation, which includes, but not limited to, all statements in this application, and my personal, employment, medical, criminal, credit/financial history and other related matters as may be necessary in arriving at an employment decision. I authorize any of my former employers or references listed to furnish their records of my services, reasons for leaving their employ, and all other information they may have concerning me, whether or not on record, including inquiry into my financial/credit history. I hereby release any of my former employers, their agents, references, educational institutions, law enforcement agencies, any state or federal bureau, and any credit reporting agencies form all liability for any damage whatsoever in responding to inquiries and furnishing said information during this background investigation. I understand that I agree to conform to the rules and regulations of Goodwill Industries, and my employment can be terminated with or without cause, at any time, at the discretion of Goodwill Industries or myself. I understand that no one other than the President of Goodwill Industries has any authority to enter into any agreement contrary to the foregoing, or to make any oral assurances regarding benefits or promises of employment. I further understand and agree that the development and dissemination of policies, procedures, handbooks, or other literature by Goodwill Industries does not now or will not in the future constitute an express or implied contract between Goodwill Industries and its employees. I certify the information contained in this application is true, correct, and complete. I understand that, if employed, false statements reported on this application may be considered sufficient cause for dismissal. Goodwill Industries of Northwest Ohio provides employment opportunities for everyone regardless of age, color, race, national origin, religion or disability that does not prohibit performance of essential job functions. In addition, laws regarding veterans’ status are observed.

Acceptance*

I accept

Please verify that you are human*