Application For Employment - Goodwill Industries Of Northwest Ohio (Page 2 of 2) in pdf

III. EDUCATION/TRAINING

NAME & LOCATION OF SCHOOL

# YEARS COMPLETED

DID YOU GRADUATE

DEGREE

Please list any training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the

position for which you are applying: _____________________________________________________________________________

Is there anything else you would like us to know. (Professional or civic organizations, personal experiences with persons with

disabilities or other barriers to employment, etc.)

___________________________________________________________________________________________________________

IV. CHARACTER REFERENCES

Please write the names of three persons, not related to you , who are acquainted with your character, habits, and achievements.

NAME

TELEPHONE NUMBER

# YEARS KNOWN

(

)

(

)

(

)

In filling out this application form, I understand that Goodwill Industries of Northwest Ohio, Inc. is in no way obligated to provide employment to

me, also I am not obligated to accept employment. I understand that if a conditional offer of employment is made, I may be required to complete

pre-employment tests, and a physical examination which may include a drug and alcohol screening and that any offer of employment is contingent

upon the results of these examinations.

My signature below certifies that all information on this application is correct and complete to the best of my knowledge. I understand that false

information may result in refusal of employment or termination of employment if falsification is discovered after the date of hire. I authorize

Goodwill Industries and its agents to conduct a background investigation, which includes, but not limited to, all statements in this application, and

my personal, employment, medical, criminal, credit/financial history and other related matters as may be necessary in arriving at an employment

decision. I authorize any of my former employers or references listed to furnish their records of my services, reasons for leaving their employ, and

all other information they may have concerning me, whether or not on record, including inquiry into my financial/credit history. I hereby release

any of my former employers, their agents, references, educational institutions, law enforcement agencies, any state or federal bureau, and any credit

reporting agencies form all liability for any damage whatsoever in responding to inquiries and furnishing said information during this background

investigation.

I understand that I agree to conform to the rules and regulations of Goodwill Industries, and my employment can be terminated with or without

cause, at any time, at the discretion of Goodwill Industries or myself. I understand that no one other than the President of Goodwill Industries has

any authority to enter into any agreement contrary to the foregoing, or to make any oral assurances regarding benefits or promises of employment. I

further understand and agree that the development and dissemination of policies, procedures, handbooks, or other literature by Goodwill Industries

does not now or will not in the future constitute an express or implied contract between Goodwill Industries and its employees.

_______________________________________________________________

_________________________________

Applicant’s Signature

Date

Goodwill Industries of Northwest Ohio provides employment opportunities for everyone regardless of age, color, race,

national origin, religion or disability that does not prohibit performance of essential job functions. In addition, laws

regarding veterans’ status are observed.

01/06

Application For Employment - Goodwill Industries Of Northwest Ohio Page 2

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