Goodwill Job Application Step 1 of 8 12% PhoneThis field is for validation purposes and should be left unchanged.Goodwill Industries of Southeast Texas & Southwest LouisianaYou are applying for employment with Goodwill Industries of Southeast Texas & Southwest Louisiana. This employment application is only good for Goodwill Industries of Southeast Texas & Southwest Louisiana. If you are seeking employment with a Goodwill organization outside of this geographic area, please contact the Goodwill organization associated with that area. You may enter N/A for all required fields that are not applicable.Name(Required) First Middle Last Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email(Required) Primary Phone(Required)Secondary PhoneWork Phone Have you ever been employed with us?(Required) Yes No Date(Required) Under what name were you employed at Goodwill?(Required)Where(Required)Relatives that currently work for Goodwill:(Required)How did you hear about the organization?:Are you available for part-time and/or full-time work?(Required) Part-Time Full-Time How many hours per week can you work? :(Required)Location Desired(Required)Position desired:(Required)Pay desired:(Required)Are you legally eligible for employment in the United States?:(Required) Yes No Are you at least 18 years of age?(Required)You must be at least 18 years of age for employment consideration with our Goodwill. Yes No When will you be available to begin work?:(Required) Weekly AvailabilityOur retail sites operate 7 days a week and hours vary by location but generally range from 7:00 am to 9:00 pm What days and hours are you available to work? Leave them blank if you are unable to work on any day.Sunday Earliest Time Hours : Minutes AM PM AM/PM Sunday Latest Time Hours : Minutes AM PM AM/PM Monday Earliest Time Hours : Minutes AM PM AM/PM Monday Latest Time Hours : Minutes AM PM AM/PM Tuesday Earliest Time Hours : Minutes AM PM AM/PM Tuesday Latest Time Hours : Minutes AM PM AM/PM Wednesday Earliest Time Hours : Minutes AM PM AM/PM Wednesday Latest Time Hours : Minutes AM PM AM/PM Thursday Earliest Time Hours : Minutes AM PM AM/PM Thursday Latest Time Hours : Minutes AM PM AM/PM Friday Earliest Time Hours : Minutes AM PM AM/PM Friday Latest Time Hours : Minutes AM PM AM/PM Saturday Earliest Time Hours : Minutes AM PM AM/PM Saturday Latest Time Hours : Minutes AM PM AM/PM Educational InformationCollege Name and the Location of the School(s)Course of Study:Did you Graduate?: Yes No Degree of Diploma:Highschool Name and the Location of the School(s)Course of Study:Did you Graduate?: Yes No Degree of Diploma:ElementaryName and the Location of the School(s)Course of Study:Did you Graduate?: Yes No Degree of Diploma:OtherName and the Location of the School(s)Course of Study:Did you Graduate?: Yes No Degree of Diploma:Other special training skills (language, machine operation, etc.):MEMBERSHIP OF PROFESSIONAL OR CIVIC ORGANIZATIONS RELATED TO POSITION(S) FOR WHICH APPLYING (EXCLUDED THOSE WHICH MAY DISCLOSE YOUR RACE, COLOR, RELIGION, ORIGIN OR ANY OTHER PROTECTED CLASS.)Goodwill Industries is an equal opportunity employer and does not discriminate in employment or hiring on the basis of race, color, national origin, sex, religion, disability, age, marital status, veteran status or any other legally protected status. Employment HistoryBeginning with your current or most recent employer and working backward.Company Name(Required)Company Phone(Required)Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Hire Date(Required) Are you still working for this employer?(Required) Yes No Termination DateSupervisor name(Required)Salary at Hire(Required)Salary at Termination(Required)State Job Title and Describe Your Work:(Required)Reason for Leaving:(Required)May we contact the employers listed above?(Required) Yes No Company 2Company Name(Required)Company Phone(Required)Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Hire Date(Required) Termination Date(Required) Supervisor name(Required)Salary at Hire(Required)Salary at Termination(Required)State Job Title and Describe Your Work:(Required)Reason for Leaving:(Required)May we contact the employers listed above?(Required) Yes No Company 3Company Name(Required)Company Phone(Required)Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Hire Date(Required) Termination Date(Required) Supervisor name(Required)Salary at Hire(Required)Salary at Termination(Required)State Job Title and Describe Your Work:(Required)Reason for Leaving:(Required)May we contact the employers listed above?(Required) Yes No Please explain any gaps in your employment history:(Required) Professional ReferencesTwo should be work related and one may be friend or family. Three references are required.List Three References(Required) NameTelephoneAddressRelationship Add RemoveHave you served in the U.S. Armed Forces?(Required) Yes No MILITARYComplete this section if you served in the U.S. Armed ForcesBranch of Service:When did your Active Duty Begin? When did your Active Duty End? Describe your duties and any special training:Rank at Discharge:Date of Final Discharge: Applicants seeking a position requiring the operation of a personal or commercial vehicle as part of job dutiesManagers, Asst. Managers, Team Leaders, Truck DriversDo you have a valid driver's license?(Required) Yes No Are you seeking a position that would require you to operate a personal or commercial vehicle as part of your job duties?(Required) Yes No License Details(Required)StateLicense NoTypeExpiration DateDriving ExperiencePlease list commercial vehicles you have experience with driving.Please list any moving violations: BackgroundNote: Convictions are not necessarily a disqualifier of employment; however, failure to provide complete and accurate information in response to the following questions will result in denial or termination of employment, whenever discovered. In considering your conviction record, we will consider job-related factors including but not limited to the date and nature of the offense. Have you ever been convicted of, plead guilty or no contest to, received deferred adjudication or nolo contendere for a felony?(Required) Yes No Please explain type of felony and date of conviction.(Required)Have you ever been convicted, plead guilty or no contest to, received deferred adjudication or nolo contendere for theft, burglary, or any other crime involving dishonesty or breach of trust?(Required) Yes No Please provide dates and details.(Required)Have you ever been a defendant or identified as the wrongdoer in a civil action for alleged assault, battery or other type of intentional tort, such as alleged intentional injury to a person or property?(Required) Yes No Please provide dates and details.(Required)Some of our jobs require employees to spend extended periods of time on their feet and to perform such tasks as mopping floors, stooping, bending, lifting, pulling or pushing loads up to 50 pounds. After reading a job description, can you perform the duties of the job you are applying for with or without reasonable accommodation?(Required) Yes No Applicant’s StatementPlease read carefullyI certify that the information I have provided to the foregoing questions is true and correct, and that no attempt has been made to conceal pertinent information. I authorize my former employers, schools and personal references to provide any information they may have regarding me, whether or not it is on their record. I hereby release them from all liability for divulging same. I understand that all statements made by me are subject to investigation by Goodwill, and that if any information given by me in this application is perceived to be false or misleading, I will be subject to dismissal at any time during the period of my employment, and I agree to hold Goodwill blameless in that event. If employment is obtained under this application, I will comply with all rules and regulations of Goodwill Industries of Southeast Texas, Inc. I understand that all employees of Goodwill are employees at will and, as such, are free to resign at any time without reason. Goodwill, likewise, retains the right to terminate an employee’s employment at any time with or without reason or notice. Nothing contained in the employee handbook or any other document provided to the employee is intended to be, nor should it be, construed as a guarantee that employment or any benefit will be continued for any period of time. Any salary figures provided to an employee in annual or monthly terms are stated for the sake of convenience or to facilitate comparisons and are not intended and do not create an employment contract for any specific period of time. I understand that if my work performance is perceived by company management to be substandard in any manner, at its discretion, management may or may not encourage me to improve my performance, and I hereby waive all expectations of such warning prior to termination. I specifically understand that very close attention will be given to my ability to precisely account for cash, inventory or other company assets entrusted to my care and further, that the natural and probable consequences of failure to precisely account for such cash, inventory or other assets on a daily basis, may be cause for termination of my employment and compensation without benefit of prior verbal or written warnings or counseling. If accepted for employment, I understand the use of illegal drugs is prohibited and that any offer of employment is conditional upon satisfactory results of any required drug test and background investigation. Goodwill Industries is an equal opportunity employer and does not discriminate in employment in regards to race, color, religion, sex, national origin, age, marital status, veteran status, disability or any other protected class as defined by federal, state or local statute. I understand and agree that if I should have a medical condition that may require reasonable accommodation at the workplace, it is my responsibility to inform the company of my need for and type of accommodation. This application is current for a period not to exceed (1) one year. At the conclusion of this time, if I have not heard from Goodwill and still wish to be considered for employment, it will be necessary for me to complete a new application. In the event of employment, I agree to comply with all other company policies, procedures, rules and regulations made known to me at the time of employment or any other times thereafter, and to perform all duties assigned to the best of my ability. I have read, understand and agree with the contents of the statement as the provisions had been my own. I certify that information contained in this application is true and complete.(Required) Yes No
