Assistant Manager – Waco – Heart of Texas Goodwill Industries, Inc.

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Available For:*

Full Time
Part Time

Position Desired*

Salary Expected*

Date Available For Work*

Hours Available For Work (please include days and times):*

Referred By*

Education (Highest Grade completed)*

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Employment History: (Most Recent Job First)

Company 1

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Job Title*

Company Phone*

Supervisor*

Employment Start Date*

Employment End Date*

Ending Pay Rate*

Length of Employment*

Reason for Leaving*

Company 2

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Company Address

Street Address City State

Job Title

Company Phone

Supervisor

Employment Start Date

Employment End Date

Ending Pay Rate

Length of Employment

Reason for Leaving

Company 3

Company Name

Company Address

Street Address City State

Job Title

Company Phone

Supervisor

Employment Start Date

Employment End Date

Ending Pay Rate

Length of Employment

Reason for Leaving

Any other comments you care to share about your work history?

Military Service*

Yes
No

Branch

If Applying for a position that requires driving, do you have a valid drivers license?*

Yes
No

Have you previously worked for Goodwill?*

Yes
No

When

What department or Retail Store?

Are you related to or currently living with someone employed by Goodwill?*

Yes
No

If so, who & what relation?

Are you legally authorized to work in the United States?*

Yes
No

As an adult have you ever been convicted, or pled guilty or no contest to a felony or misdemeanor offense?*

Yes
No

If so, please explain:*

Is there anything else that you feel is pertinent to this application?

Resume

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Verification*

I certify that the foregoing information is true and correct to the best of my knowledge, and that it is given of my own free will. I understand that any misrepresentation or willful omission of the facts shall be cause for rejection of the application or termination of employment. I hereby authorize Heart of Texas Goodwill Industries, Inc. to conduct verification of employment history, criminal background check, personal references, and driving or police record inquiries to determine my acceptability for employment. I agree to any drug tests that may be required. I hereby understand and acknowledge that Heart of Texas Goodwill Industries, Inc. makes no commitment of employment to the applicant by acceptance of this application. I agree to observe all rules, regulations and policies of Heart of Texas Goodwill Industries, Inc.

Yes

Signed*

Date*

Assistant Manager – Waco

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Employment History: (Most Recent Job First)

Company 1

Company 2

Company 3

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