Application For Employment - Goodwill Industries Of Northwest Ohio
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1
2APPLICATION FOR EMPLOYMENT
Thank you for showing an interest in employment at Goodwill Industries of Northwest Ohio. Goodwill Industries will only consider
your application for the job opening(s) you are applying for. Applications become inactive after 60 days. Please make certain your
application is filled out completely. If the application is not completed correctly, it will not be considered for employment.
I. PERSONAL DATA
Position(s) applied for_________________________________________________________
Wage Desired__________________
Social Security No._____/_____/_____ Phone No.______________________ Date______________________________________
Name_________________________________________________ Previous Names Used__________________________________
(last)
(first)
(initial)
Address____________________________________________________________________________________________________
(street)
(city)
(state)
(zip code)
Are you 16 years of age or older?_____Yes _____ No
Are you a former Goodwill employee?_____Yes
_____No
Date(s) Employed previously_______________________________
Are you eligible to work in the United States?_____Yes
_____No
Have you ever been convicted of a felony?_____ Yes
_____No
If so, please explain:
___________________________________________________________________________________________________________
Do you have a valid driver’s license?_____Yes
_____No
CDL - A___Yes___No
B___Yes___No
State issued in__________________________
License No._________________________
If you are applying for a position which requires that you drive for Goodwill Industries, please list all convictions for moving
violations during the last (5) five years. __________________________________________________________________________
II. EMPLOYMENT
Provide the following information of your past three (3) employers, starting with most recent.
1)_________________________________________________________________________________________________________
Company Name
Job Title
Supervisor’s name/Title
___________________________________________________________________________________________________________
Address
City
State
Zip Code
Area Code/Phone No.
___________________________________________________________________________________________________________
Dates: From:
To:
Salary/wages at start:
Finish:
Reason(s) for leaving
___________________________________________________________________May we contact____Yes ___No
Major duties performed
2)_______________________________________________________________________________________________________
Company Name
Job Title
Supervisor’s Name/Title
_________________________________________________________________________________________________________
Address
City
State
Zip Code
Area Code/Phone No.
_________________________________________________________________________________________________________
Dates: From:
To:
Salary/wages at start:
Finish:
Reason(s) for leaving
___________________________________________________________________May we contact____Yes ___No
Major duties performed
3)_______________________________________________________________________________________________________
Company Name
Job Title
Supervisor’s Name/Title
_________________________________________________________________________________________________________
Address
City
State
Zip Code
Area Code/Phone No.
_________________________________________________________________________________________________________
Dates: From:
To:
Salary/wages at start:
Finish
Reason(s) for leaving
___________________________________________________________________May we contact____Yes ___No
Major duties performed
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