Goodwill Industries will demonstrate local, regional and global leadership in providing life-enhancing services to people with barriers to employment.

The Vision

We improve the lives of people with disabilities or other disadvantages through employment, training, and job placement opportunities.

The Mission


APPLICATION 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

Phone No.

Date

Name

Email

Previous Names Used

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

May we contact

 yes no

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

May we contact

 yes no

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

May we contact

 yes no

III. EDUCATION/TRAINING


1

NAME & LOCATION OF SCHOOL

# YEARS COMPLETED

DID YOU GRADUATE

DEGREE

2

NAME & LOCATION OF SCHOOL

# YEARS COMPLETED

DID YOU GRADUATE

DEGREE

3

NAME & LOCATION OF SCHOOL

# YEARS COMPLETED

DID YOU GRADUATE

DEGREE


Please list any training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the
position for which you are applying:


Is there anything else you would like us to know. (Professional or civic organizations, personal experiences with persons with
disabilities or other barriers to employment, etc.)


IV. CHARACTER REFERENCES

Please write the names of three persons, not related to you , who are acquainted with your character, habits, and achievements.


1

Name

TELEPHONE NUMBER

# YEARS KNOWN

2

Name

TELEPHONE NUMBER

# YEARS KNOWN

3

Name

TELEPHONE NUMBER

# YEARS KNOWN



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 signature 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.