Form 324-690 - Application For Employment - Goodwill Industries
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1
2GOODWILL INDUSTRIES OF
NORTHEAST IOWA INC.
APPLICATION FOR EMPLOYMENT
Last Name
First
Middle
Date
Street Address
Home Phone
(
)
-
City, State, Zip
Business Phone
(
)
-
Social Security No.
-
-
Have you ever been employed by us? Yes
No
If yes: Month and Year:
Position:
POSITION APPLYING FOR: Clerical
Management
Sales Associate
Program Manager/Associate
Truck Driver
Community Trainer
Production Worker
Other (list):
FULL TIME
PART TIME
REGULAR
TEMPORARY
Are you currently employed?
YES
NO
Are you at least 16 years old?
YES
NO
Will you work shifts?
YES
NO
Are you willing to work weekends and/or holidays?
YES
NO
Work location preferences or restrictions:
Are you related/friends to anyone who works for Goodwill?
YES
NO
If yes, at which location do they work?
Have you ever been convicted of a crime (other than traffic violations)?
YES
NO
If yes, list date and place:
If your application is considered favorable, on what date will you be available?
NO. OF
TYPE OF
COURSE OF
DID YOU
NAME AND LOCATION OF SCHOOL
YEARS COM-
DEGREE OR
STUDY
GRADUATE?
PLETED
DIPLOMA
YES
HIGH SCHOOL
NO
YES
COLLEGE
NO
OTHER
YES
BUSINESS OR
TECHNICAL
NO
SCHOOL
COMPLETE THIS SECTION IF YOU SERVED IN THE U.S. ARMED FORCES
Describe your duties and any special training
Branch of Service
__________________________________________
_____________________________________
Period of Active Duty (Month & Year)
_____________________________________
From
To
Rank at Discharge
Type of Final Discharge
_____________________________________
_____________________________________
Date of Final Discharge
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