Goodwill Connects 2025 Application
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REQUIREMENTS:
- Must be at least 16 years old by June 1st, 2025.
- Must be able to provide self-care, i.e., medications and toileting.

About Goodwill Connects:
  • 6-Week paid job experience
  • $12.50/ hour
  • 26 hours a week
  • Excellent job training
  • Career Mentor support
  • 100+ great employers
Interested in learning more?
  • Watch the 1-minute video below
  • Complete the application by Thursday, May 8th, 2025.
  • The application will take 8-10 minutes
After completion of this application, you will be notified via email regarding the next steps to work in the program. 

We can't wait to work with you this summer!

Visit us at: www.GoodwillCMH.org/Connects

Questions? Call: (269)788-6500 Ext. 2032

Section One. 
Student Information.
Full Legal Name
Preferred Name
Full Address (Address, City, State, and Zip Code)
Cell Phone Number
Alternative Number 
Email Address (not a school email address)
Date of Birth
MM
/
DD
/
YYYY
Section Two. 
Student Information Continued
What is the best way to contact you? (Select all that apply)
Section Three.
Parent/Guardian & Emergency Contact information.
Parent/Guardian Full Name
Parent/Guardian Phone Number
Parent/Guardian Email Address
Emergency Contact Full Name
Emergency Contact Phone Number
Emergency Contact Email Address
Section Four. 
What school do you currently attend? (Check all that apply)
What is your current grade?
Clear selection
Section Five.
Do you have children?
Clear selection
Who do you live with? (Check all that apply)
Section Six. 
What forms of ID do you have?
Section Seven.
What banking services do you have? (Check all that apply)
Section Eight. 
Do you have access to reliable transportation?
Do you have access to public transportation?
Clear selection
(This is an optional question) Do you have an Individualized Education Program (IEP) and/or a 504 Plan?
Clear selection
(This is an optional question) Do you work with Michigan Rehabilitation Services (MRS)?
Clear selection
Section Nine. 
Have you ever had a job?
Clear selection
If you answered yes, what type?
Clear selection
Section Ten.
What extra-curricular activities are you involved in?
Section Eleven. 
What qualities do you think employers look for in an employee?
Section Twelve. 
What makes you a great choice for an employer?
Section Thirteen. 
Why do you want to be a part of Goodwill Connects?
Section Fourteen. 
Do you require workplace accommodations?
Clear selection
Section Fifteen.  Demographic Questions (optional)
Gender (please specify)
Race
Clear selection
Ethnicity
Clear selection
Section 16.
Thank you for your application! Please check your email within the next few days as you will be notified via email regarding the next steps to work in Goodwill Connects. 
Please provide below any questions you may have.
Submit
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