Apply for Production Assistant Training "*" indicates required fields Name* First Last Phone*Email* Date* MM slash DD slash YYYY I am 18 years of age or older* Yes No I am a New Mexico resident* Yes No How did you hear about this program?* TV Radio Facebook Instagram Goodwill website or store Other online source Film industry source UNM Friend or family member Other/None of the above My current employment status is...* Full-time Part-time Not working Student Gender Male Female Prefer not to answer Race* American Indian/Alaskan Native Asian/Hawaiian/Other Pacific Islander Black or African American Caucasian or White Prefer not to answer Ethnicity* Hispanic/Latino Ethnic Origin Not Hispanic/Latino Prefer not to answer Sexual Orientation* Heterosexual/Straight Homosexual/Gay/LGBTQ+ Bisexual/Asexual Prefer not to answer I am a Veteran* Yes No I am able to attend both days of training* Yes No I feel comfortable lifting...* 0-25 lbs 26-50 lbs More than 50 lbs I can stand on my feet for...* 4-7 hours 8-12 hours More than 12 hours I am willing to sign a media release for photography* Yes No Terms of Service If accepted for services, it is recognized that all individuals have the right to terminate his or her relationship with GINM for any reason and at any time. GINM reserves the same right. GINM adheres to the tenets of the ADA. Applications for service will be reviewed and if appropriate, you will be contacted for an initial intake. Terms of Participation Goodwill Industries of New Mexico (GINM) has the right to refuse service to program participants. GINM is a drug free workplace. GINM does not tolerate any conduct that is harassing, disruptive or forceful, including sexual harassment. GINM employs, pays, promotes, assists and trains a wide variety of people. Thus, your religious affiliation, the nature of your disability, your race or ethnicity, your age, your political affiliations, your sexual orientation, your gender, or your marital status do not matter to GINM. In addition, participants will not be subject to reprisal or retaliation for reporting, in good faith, actions that they feel violate the law. Our company is an Equal Opportunity Employer and as such affirms the right of every person to participate in all aspects of employment without regard to gender, race, color, religion, national origin, ancestry, age, marital status, sexual orientation, pregnancy, disability, citizenship, military or veteran status, gender expression and/or identity, or any other status or characteristic protected by federal, state, or local law. For full details of conditions of receiving GINM services, please contact Goodwill or consult your program handbook. READ CAREFULLY BEFORE SIGNING: I certify that the information given by me on this application for services is true and correct to the best of my knowledge and belief. I understand that any misleading or false statement, and any omission made by me, may render this application void; and if I am accepted, any inaccurate, false or misleading information on any employment documents could result in separation of services. I consent to all physical and other examination(s) required as a condition of continued relationship with GINM. I authorize GINM to verify any information provided by me and hereby release GINM from any liability associated with verification of information. I further understand that GINM is committed to providing a drug free environment.Signature (NOTE: Entering your name and submitting this application indicates that you consent to the use of electronic signatures and acknowledges that you have read and agree to our Terms of Service and Terms of Participation.)* Production Assistant Training Form