The Mission of Evansville Goodwill Industries, Inc., a not-for-profit 501(c)(3) organization, is to provide quality vocational and developmental opportunities to people who are disabled and/or disadvantaged in order to enhance their ability to achieve full participation in society.It is the employer's policy that equal employment opportunities be available to all employees and applicants without regard to race, sex, sexual orientation, gender identity, age, color, religion, national origin, participation in military service, disability, genetic information or any other legally protected status.Personal InformationName:* First Last Date (YYYY-MM-DD):*Home Phone:* Area Code - Phone Number Work Phone: Area Code - Phone Number Referral Method? Address:* Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountryPay Expected? Will you work overtime if asked? *YesNoWhen will you be available to begin work?* Have you ever applied for employment with us? :*YesNoIf yes, Month/Year and Location Position Desired:* Apart from absence for religious observance, are you available for full-time work?*YesNoIf no, what hours can you work? Applicants will be required to verify employment eligibility as required by law, including completion of an I-9 formOther special training, skills or licenses (languages, machine operation, etc.)EducationHigh SchoolName and Location: Course of Study: Years Completed: Graduated:*YesNoDegree: CollegeName and Location:(1) Course of Study:(1) Years Completed:(1) Graduated:(1)*YesNoDegree:(1) Graduate SchoolName and Location:(2) Course of Study:(2) Years Completed:(2) Graduated:(2)YesNoDegree:(2) Other (Vocational, Technical, etc.)Name and Location:(3) Course of Study:(3) Years Completed:(3) Graduated:(3)YesNoDegree:(3) Criminal HistoryNote: A conviction does not automatically mean that you will not be selected. What you were convicted of, and how long ago you were convicted, are important. Please give all the facts so that an informed decision can be made. If you are applying in Illinois, do not complete the convictions section.Have you been arrested for or convicted of a crime that has not been expunged or sealed by a court, other than minor traffic violations? (Please include any arrests subject to plea bargaining or diversion programs which have not been expunged or sealed by a court).*YesNoIf yes, please explain:Employment(Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employment.)Company Name: Telephone: Address 1: Employed From (Month and Year): Weekly Pay (Start and Last): Name of Supervisor: State Job Title and Describe Work: Reason for Leaving: Company Name:(1) Telephone:(1) Address 1:(1) Employed From (Month and Year):(1) Weekly Pay (Start and Last):(1) Weekly Pay (Start and Last):(2) Name of Supervisor:(1) State Job Title and Describe Work:(1) Reason for Leaving:(1) Company Name:(2) Telephone:(2) Address:(2) Employed From (Month and Year):(2) Name of Supervisor:(2) State Job Title and Describe Work:(2) Reason for Leaving:(2) Company Name:(3) Telephone:(3) Address:(3) Employed From (Month and Year):(3) Weekly Pay (Start and Last):(3) Name of Supervisor:(3) State Job Title and Describe Work:(3) Reason for Leaving:(3) May We Contact These Employers?*YesNoIf no, please list which employers you wish us not to contact and why. Attach Resume:File types accepted include: .doc, .docx, .pdf FileĀ size must beĀ 2MB or smallerApplicant Statement:*I authorize investigation of all statements contained in this application, including but not limited to a criminal background check. I understand that misrepresentation or omission of facts called for is cause for dismissal. I understand that my employment is for no definite period, and may regardless of the date of payment in my wages and salary, be terminated at any time without any previous notice. Refusal to submit to pre-employment drug testing or a positive test result will make an applicant ineligible for employment with Goodwill Industries, Inc.Signature:* Today's Date:* SubmitReset