Apply – GWISCO Employee Portal

To Apply For HPC Use The Following Application

Date*
Date Format: MM slash DD slash YYYY
Name*
First Middle Last
Phone*
Email*
Are you 18 years of age or older?*
Do you have a valid driver's license?*
Date of Birth*
Social Security Number*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Date Available To Start:*
Date Format: MM slash DD slash YYYY
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?

Education & Certifications Section
Do you have a High School diploma or G.E.D.?
If so, Name & City of School
Can you provide proof of diploma?
We will ask for this before you can start working.
Please list any certifications or qualifications you currently hold that are not expired.
This could be CPR, First Aid, AED training, 8 Hour MUI certifications, Medication Administration training, etc.

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
Date Format: MM slash DD slash YYYY
End Date
Date Format: 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
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Supervisor Name
First Last
Phone

Goodwill CARE Program Abuser Registry Notification, ARCS and Rapback Enrollment
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.
I also authorize Goodwill Industries to run a Driver's Abstract check on the Ohio.BMV.ORG website. I understand that this will allow for Goodwill Industries to check the amount of points on my driving record and if it is greater than 6 points, I may be unavailable to provide transportation for an individual with a developmental disability.
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*