Job Application Home -> About Us -> Jobs -> Job Application We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or disability or any other legally protected status. • Any unsolicited information written on the application will result in rejection of the application. Position(s) Applied for: * How did you find out about us? Advertisement Friend Walk-In Agency Website Employment Agency Relative Other Last Name: * First Name: * Middle Name: Address: * City * State * Zip * Email * Daytime Phone Area Code * Daytime Phone: * Evening Phone: Can you provide required proof of your eligibility to work in the United States: * Yes No Have you ever filled out an application with us before? * Yes No If yes, date: Have you ever been employed with us before? Yes No If yes, date: May we contact your present employer? Yes No Are there any days or hours you are not available to work? Yes No Are you available to work: Full Time Part Time Shift Work Temporary Can you perform the essential functions of the job you are applying for? Yes No Can you travel between locations? Yes No Out-of-town? Yes No Have you ever been convicted of a felony? Yes No (Conviction will not necessarily disqualify an applicant from employment) If yes, date: Had an SIS Sentence? Yes No If yes, please explain: Have a pending felony case(s) Yes No If yes, please explain: Please list any relatives or friends employed with MERS Goodwill: 1. 2. 3. 4.
