Goodwill Industries of Lubbock: Job Application Page

Mission: To Create Job Opportunities for People with Barriers to Employment

Please fill in the following information and click "Submit" below to send to our staff.
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Name:	Cannot be blank.
Address:	Cannot be blank.
City:	Cannot be blank.
State:	Cannot be blank.
Zip:	Cannot be blank.
Phone:	Cannot be blank.
Email:	A value is required.Invalid format.
Desired Position:	Check for Current Jobs Opening
	Full-Time Part-Time

Drivers License:	Yes No
State:
Type:
Number:
Exp Date:
Military Service:
Branch:
Duties:
Any Friends/Relatives now working for Goodwill?	Yes No
Name:
Relation:

1) Name of Reference:
Occupation:
Address:
City/State/Zip:
Phone:
Relationship:
How Long Known:
2) Name of Reference:
Occupation:
Address:
City/State/Zip:
Phone:
Relationship:
How Long Known:

High School:
Select Last Year Complete:
Major Course:
Diploma/Degree:
1) College/University:
Select Last Year Complete:
Major Course:
Diploma/Degree:
2) College/University:
Select Last Year Complete:
Major Course:
Diploma/Degree:
Business or Trade School:
Select Last Year Complete:
Major Course:
Diploma/Degree:


Are you legally authorized to work in the U.S.?: (If hired, you will be required to provide proof of work authorization:	Yes No
Are you at least 18 years of age?:	Yes No
Briefly describe skills you may have that you acquired in other employment or armed forces:
Have you ever been convicted of a crime (felony)?:	Yes No
If yes, give details: (Convictions are not automatic bar to employment)
Do you have any other skills you wish to mention?:
Are you presently employed?:	Yes No
If so, may we contact your present employer?:	Yes No
If hired, when would you be available?:


1) Employer:
Address/City:
From (MM/YYYY):
To (MM/YYYY):
Supervisor:
Phone:
Salary:
Type of Work:
Reason for Leaving:

2) Employer:
Address/City:
From (MM/YYYY):
To (MM/YYYY):
Supervisor:
Phone:
Salary:
Type of Work:
Reason for Leaving:
	Invitation to Identify for Affirmative Action Purposes
	Goodwill Industries of Lubbock, Inc. is an equal opportunity employer.
	VOLUNTARY APPLICANT CHARACTERISTIC DATA
	Please provide the following information, which will be used only for internal tracking, statistical purposed and reporting to regulatory agencies. This information will be detached from your application and will in no way be used in consideration for employment. Goodwill Industries of Lubbock, Inc. is an Equal Employer and does not discriminate because of: sex, race, color, disability, national origin or religion.
Gender:	Male Female
Indicate The Appropriate Race/Ethnic Group:
How Were You Referred To This Job:

Please Check if Applicable: Visually impaired Hearing impaired Cerebral Palsy Arthritis Orthopedic Absence/Amputation of a member Psychotic	Behavioral (not substance abuse) Learning Disabled/Mental retardation Epilepsy Cardiac/circulatory Head injury Other:

DISCLAIMER AGREEMENT
I hereby certify that the foregoing statements are, to the best of my knowledge, true and correct and that they are all given of my own free will. I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate discharge from the employer’s service, whenever it is discovered. I give the employer the right to contact and obtain information from all references, employers, and educational institutions and to otherwise verify the accuracy of the information contained in this application. I herby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons, corporation or organizations for furnishing such information. The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local state or federal law. This application is current for only 90 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice and the employer reserves the same right to terminate my employment at any time, with or without prior notice, except as many be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer. I understand it is this company’s policy not to refuse to hire a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA. I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization. I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions. I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.
I Agreed Please make a selection.