First Name*

Last Name*

Address*

City*

State*
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Zip Code*

Home Phone

Cell Phone

Other Phone

Email Address*

Best Time to Contact

Desired Position*

How did you hear about this position?
---Friend or RelativeGoodwill EmployeeEmployment AgencyInternetCollege/SchoolNewspaperOther

Start Date

Shifts: (Check all that apply)
MorningsAfternoonsEvenings

Days Available: (Check all that apply)
SundayMondayTuesdayWednesdayThursdayFridaySaturday

Type of employment desired: (Check all that apply)
Full TimePart TimeOther

Desired Salary Range:

Applicants will receive consideration for positions, without regard to race, color, religion, age, sex, except where sex is a bonafide occupational qualification, sexual orientation, marital status, individuals with disabilities, and equally to disabled veterans, other protected veterans and veterans of the Vietnam era.

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

If there is not enough room to list all past work experience you may upload a PDF, Word Document, or Text Document (up to 1MB):

Provide contact information for 3 professional references.

I certify that all information I have provided herein is true and complete to the best of my knowledge and belief. I agree and understand that any omissions, misstatements, and false information in my application or interview(s) may be cause for rejection of this application or eligibility of employment, or may result in immediate discharge whenever it is discovered. I underestand that this application must be filled out completely in order for me to be considered for employment. I further understand that this application will remain active for one (1) year from date of completion; after which time I must reapply.

I hereby authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision, including but not limited to credit, criminal and education checks. I further authorize references and employers listed above to give you any and all information concerning my previous employment and pertinent information that they may have, releasing all parties from all liability for any claim or damage that may result from furnishing such information to you.

If employed I agree to provide proof of identity, relevant licensure or credentials, and authorization for employment in the United States. I additionally understand and acknowledge that this application does not constitute an employment contract or offer of employment and that any employment relationship is "at will", which means that I (the Employee) may resign at any time and that Goodwill Industries of Erie, Huron, Ottawa and Sandusky Counties, Inc. (the Employer) may discharge me at any time with or without notice. It is further understood that no individual representative of the company, other than the president, may alter this "at will" employment relationship either verbally or in writing. I understand that I must at all times abide by the company's rules and regulations.

By checking this box I accept the statement above*