ADDITIONAL INFORMATION
Please provide any additional information (experiences, skills, abilities and training) which may be
related to the job you are applying for. You should exclude information which would reveal racial,
ethnic, religious, sexual preference or political background or orientation.
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EMPLOYMENT REFERENCES: Please list persons we may contact for business references.
NAME
1)
2)
3)
TITLE
COMPANY
ADDRESS
PHONE
CERTIFICATION: Please read carefully before agreeing.
Interview: I understand that submitting an application is not a guarantee of an interview. I understand
that if called for an interview, I will be asked to sign this application.
AT WILL Employment: Company Rules and Regulations. I understand that if accepted for
employment, I agree to abide by Goodwill Industries rules, regulations and policies. I understand that I
can resign at any time and for any or no reason, and that Goodwill Industries may release me at any time
and for any or no reason. I understand that this AT WILL status cannot be modified except by written
agreement signed specifically for that purpose by the President/CEO of the company.
Overtime: I may be required to work overtime hours or hours outside a normally scheduled workday
or workweek.
References: I authorize Goodwill Industries to communicate with former employers, school officials
and persons named as references whom I hereby release from any liabilities or damages whatsoever
resulting from exchanges of such information. I understand that reference responses are confidential
and not available for my inspection. I understand that employment is contingent upon satisfactory
verification of previous employment, clearance for criminal record, and provision of required work
eligibility documents.
Correct and Complete Information: To the best of my knowledge, the information and the
statements I have made in this application are correct and complete. I understand that if employed,
false information provided in this application may result in immediate termination.
I Agree
APPLICANT NAME
DATE
Be sure you have completed all sections of this
application. Incomplete applications will be
rejected. This application will be active for 90
_____________________________
________
days. You may reapply after that time.
Submit