NOTICE TO ALL APPLICANTS

 

In order for this application to be considered for employment it must be completed in its entirety. Current and former employers listed should always include a telephone number. References should include a complete name, address and telephone number.

Thank you for your interest in employment with Goodwill Industries of Acadiana, Inc.

 

APPLICATION FOR EMPLOYMENT

An Equal Opportunity Employer

 

FOR CONSIDERATION, ANSWER COMPLETELY AND ACCURATELY. DO NOT REFERENCE RESUME. IF YOU REQUIRE ACCOMMODATION DUE TO A DISABILITY IN ORDER TO COMPLETE THE APPLICATION PROCESS, PLEASE LET US KNOW WHAT ACCOMMODATION YOU REQUIRE.

 

Name

Tel. No

Present Address

Have You Ever Applied For Work at Goodwill Before?

Yes No

When?

Where?

Name Any Relatives and / or Acquaintances Employed by Goodwill

How Were You Referred to Goodwill?

Newspaper Agency Friend / Relative

Specify

Are You Legally Authorized to Work in the U.S.?

Yes No

Are you under 18?

Yes No

Have You Ever Been Convicted of a Felony?

Yes No

yes answer is not necessarily a disqualification for employment

 

EDUCATION AND TRAINING

Schools	Name	Location	No. of Years	Graduated Yes / No	Type Degree	Major Subject	Avg Grade
High School				Yes No
College				Yes No
Graduate				Yes No
Other				Yes No

Scholastic Honors or Professional Organizations

 

MILITARY SERVICE

Have you served in the U.S. Armed Forces? Yes No Honorable Discharge Yes No Date From To Branch Final Rank Special Training

 

TYPE OF WORK DESIRED

Full Time Part Time

Positions Desired

1.

2.

Salary Desired

$

Per

Can you work

Day Evenings Weekends Overtime

 

Post any special courses, training or certifications you have completed and any professional/trade groups or organizations which you belong to that you consider relevant to your ability to perform the job for which you applied:

 

EMPLOYMENT HISTORY (Please list your previous / most recent employment first)

 

Firm Name		Type of Business
Complete Address		Phone No.	() -
Start Date		Title & Dept.
End Date		Base Salary
Responsibilities
Reasons For Leaving
Name & Title of Immediate Supervisor

 

Firm Name		Type of Business
Complete Address		Phone No.	() -
Start Date		Title & Dept.
End Date		Base Salary
Responsibilities
Reasons For Leaving
Name & Title of Immediate Supervisor

 

Firm Name		Type of Business
Complete Address		Phone No.	() -
Start Date		Title & Dept.
End Date		Base Salary
Responsibilities
Reasons For Leaving
Name & Title of Immediate Supervisor

 

PERSONAL REFERENCES

REFERENCE NO. 1	NAME: ADDRESS: PHONE NO:
REFERENCE NO. 2	NAME: ADDRESS: PHONE NO:
REFERENCE NO. 3	NAME: ADDRESS: PHONE NO:

 

By clicking "SUBMIT" below, I hereby affirm that the information provided on this application (and accompanying resume and / or other accompanying documents) is true and complete to the best of my knowledge. I agree that any falsified or misinformed information, if hired, may be considered justification for discharge upon discovery.

 

Your Interest in Employment with Goodwill Industries of Acadiana is Sincerely Appreciated

 

PLEASE READ CAREFULLY

I authorize any person having knowledge of my past employment, school, and other activities to furnish full information to Goodwill Industries of Acadiana, Inc. upon its request. I release those persons, organizations, or companies supplying information from all liability and responsibility for supplying information.

I understand that any offer of employment is also contingent upon my ability to provide the documentation required by the Immigration Reform and Control Act of 1986 to substantiate that I am legally authorized to work in the United States.

I further understand that Goodwill Industries of Acadiana, Inc. conducts its operations with the highest degree of safety for employees, customers, and the public. Because of this standard, Goodwill requests that final candidates complete certain pre-employed procedures before acceptance for and commencement of employment. These procedures include, but are not limited to testing for illegal and/ or controlled substances and obtaining satisfactory prior employment references. I understand that applicants who fail to successfully complete all pre-employment procedures will not be further considered for employment.

This application is current for only 6 months. At the conclusion of this time, if I have not heard from Goodwill Industries of Acadiana, Inc. and still wish to be considered for employment, it will be necessary to fill out a new application.