HPC Apply

Date*
MM slash DD slash YYYY
Name*
First Middle Last
Phone*
Email*
How did you learn about this job?*
- Facebook post
- Google search
- Ohio Means Jobs
- Monster Jobs
- Text to apply message
- Goodwill employee
- Goodwill website
Are you 18 years of age or older?*
Date of Birth*
MM slash DD slash YYYY
Do you have a valid driver's license?*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Date Available to start:*
Do you already have an individual to serve?*

Type "Yes" if so and complete the next 2 questions. Type "No" if you do not have an individual to serve, and we will pair you up with someone.
Individual's Name
First Last
Individual's/Family's Phone Number
Do you have any relatives that are currently employed by Goodwill?
If any relatives are employed, who?
First Last
Have you ever been employed by Goodwill?*
If so, when & where?

Previous Employment & References Section
Most Recent Employer:
Company Name*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Start Date*
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Supervisor Name
First Last
Phone

Second Most Recent Employer:
Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Supervisor Name
First Last
Phone

Goodwill CARE Program Abuser Registry Notification, ARCS and Rapback Enrollment
View PDF of OAC Rule 5123:2-17-03 and DODD's Annual Notice regarding the abuse registry

I have received and reviewed OAC 5123:2-17-03 which outlines the conduct for which an employee can be placed on the DODD Abuser Registry and acknowledge that this notice serves as written notification of said abuser registry procedure. I understand I can find updates to this rule on DODD.Ohio.gov or ask my immediate supervisor for clarification.

I consent to Goodwill Industries utilizing the Automated Registry Check System (ARCS) for background information as well as the Ohio Attorney General’s Rapback System for criminal records check and monitoring. I also consent to Goodwill Industries sharing the results of these reports with the person and family with whom I will be working.
Name as it appears on your Driver's License or State Issued ID:
First Last
Address as it appears on your Driver's License or State Issued ID:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Electronic Signature*
Resume
If you have a resume, please upload it here. You may also include a cover letter.
Max. file size: 5 MB.
CAPTCHA