Application For Employment - Goodwill Industries Of Kanawha Valley, Inc. Page 2
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3Employment History
Starting with your most recent employer, provide the following information:
Employer
Telephone #
Month
Year
Month
Year
____________________________________________________(______)_____________________
Dates Employed:_________/__________to____________/____________
Street Address
City
State
COMPENSATION (Starting)
___________________________________________________________________________________________
____ Hourly ____ Salary $ ________ per ________
Starting Job Title / Final Job Title
Commission/Bonus/Other Compensation $
___________________________________________________________________________________________ ___________________________________
Immediate Supervisor and title (for most recent position held)
May we contact for reference?
COMPENSATION (Final)
________________________________________________________________
____ Yes ____ No ____ Later
____ Hourly ____ Salary $ _________ per_______
Why did you leave?
Commission/Bonus/Other Compensation $
____________________________________________________________________________________________ __________________________________
Summarize the type of work performed and job responsibilities.
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
Employer
Telephone #
Month
Year
Month
Year
____________________________________________________(______)_____________________
Dates Employed:_________/__________to____________/____________
Street Address
City
State
COMPENSATION (Starting)
___________________________________________________________________________________________
____ Hourly ____ Salary $ ________ per ________
Starting Job Title / Final Job Title
Commission/Bonus/Other Compensation $
___________________________________________________________________________________________ ___________________________________
Immediate Supervisor and title (for most recent position held)
May we contact for reference?
COMPENSATION (Final)
________________________________________________________________
____ Yes ____ No ____ Later
____ Hourly ____ Salary $ _________ per_______
Why did you leave?
Commission/Bonus/Other Compensation $
____________________________________________________________________________________________ __________________________________
Summarize the type of work performed and job responsibilities.
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
Employer
Telephone #
Month
Year
Month
Year
____________________________________________________(______)_____________________
Dates Employed:_________/__________to____________/____________
Street Address
City
State
COMPENSATION (Starting)
___________________________________________________________________________________________
____ Hourly ____ Salary $ ________ per ________
Starting Job Title / Final Job Title
Commission/Bonus/Other Compensation $
___________________________________________________________________________________________ ___________________________________
Immediate Supervisor and title (for most recent position held)
May we contact for reference?
COMPENSATION (Final)
________________________________________________________________
____ Yes ____ No ____ Later
____ Hourly ____ Salary $ _________ per_______
Why did you leave?
Commission/Bonus/Other Compensation $
____________________________________________________________________________________________ __________________________________
Summarize the type of work performed and job responsibilities.
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
Educational Background
Starting with your most recent school attended, provide the following information:
School (Include City & State)
Years Completed
Completed
GPA/Class Rank
Major/Minor
______________________________ ___________
___________
_________
__ Diploma
__ GED
______________________________ ___________
__ Degree ________________
__ Certification _____________
__ Other ___________________
School (Include City & State)
Years Completed
Completed
GPA/Class Rank
Major/Minor
______________________________ ___________
___________
_________
__ Diploma
__ GED
______________________________ ___________
__ Degree ________________
__ Certification _____________
__ Other ___________________
Goodwill Industries of Kanawha Valley, Inc
2
Confidential Proprietary Applicant Document
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