Goodwill :: Online Application

ATTENTION: This application ONLY is good at Goodwill Industries of SW Oklahoma
and N Texas, Inc.

Failure to complete all sections of this application may disqualify an applicant from consideration.

This application will remain active for 1 month and on file for 12 months.

Personal Information:

Position:

Last Name: *

First Name: *

Middle Name: *

Street Address: *

City: *

State: *

Zip Code: *

Phone #: *

Email:

Are you 18 years or older? *

Yes

No

Are you authorized to work in the United States? *

Yes

No

Employment Desired:

Salary: *

Date you can start: *

Full Time or Part Time? *

Full Time

Part Time

Are you currently employed? *

Yes

No

If yes, may we inquire of your present employer?

Yes

No

Have you worked for Goodwill Industries before? *

Yes

No

If Yes, where?

Education:

Name of High School: *

Did you receive a diploma or GED? *

Yes

No

Have you attended:

Did you graduate?

Yes

No

List any degrees you received:

General

Subjects of special study or research work:

Special skills:

Activities: Civic, Athletic, Etc.:

(Exclude organizations in which the names would indicate the race, sex, age, marital status, color, national origin, or ability of its members.)

Former Employers:

(List your last 3 employers, starting from most recent, if able)

1st Employer's Name:

Address:

Phone #

Start Date/End Date:

Position/Pay Rate:

Reason for Leaving:

Duties:

2nd Employer's Name:

Address:

Phone #:

Start Date/End Date:

Position/Pay Rate:

Reason for Leaving:

Duties:

3rd Employer's Name:

Phone #:

Start Date/End Date

Position/Pay Rate:

Reason for Leaving:

Duties:

References:

(List two persons not related to you, whom you have known for at least one year)

1st Reference's Name: *

City/State: *

Phone #: *

Type of Business:

Years Known: *

2nd Reference's Name: *

City, State: *

Phone #: *

Type of Business:

Years Known: *

(A conviction record will not necessarily be a bar to employment.)

Have you ever been convicted of a felony? *

Yes

No

If yes, what was the nature of the offense, when, where, and the outcome?

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal."

"I authorize investigation of all statements contained herein and the references listed above, to give you any and all information concerning my previous employment and any pertinent information they may have. I, hereby, release all parties from any liability as a result of such investigation."

"I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time with or without prior notice and without cause."

Do you agree to and accept the above statements? *

Yes

No

Signature *

Captcha: *

Please insert the letters and numbers shown in the image

Required fields

ATTENTION: This application ONLY is good at Goodwill Industries of SW Oklahoma and N Texas, Inc.

Personal Information:

Employment Desired:

Education:

General

Former Employers:

References:

ATTENTION: This application ONLY is good at Goodwill Industries of SW Oklahoma
and N Texas, Inc.