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Goodwill Donation Form

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Application for Employment

Date:

Land of Lincoln Goodwill Industries, Inc.
800 North 10th Street
Springfield, Illinois 62702
217/789-0400
217/789-7239 fax

Land of Lincoln Goodwill Industries
is an Equal Opportunity Employer
and Drug Free Workplace
www.LLGI.org

If you need accommodation
completing this application,
please contact Goodwill.

Personal Information

Name

Social Security No.

Address

City, State, Zip Code

Primary Phone

Secondary Phone

E-mail

Desired Employment

Position

Date available to start

Salary desired

Type of Employment desired:

Ever applied to this company before?

When?

Ever worked for this company before?

List dates and position(s) held

Reason for leaving

Name of last supervisor at this company

Who referred you to this company?

If other, please list

Are you legally eligible for employment in the United States?

(Proof of United States citizenship or immigration status will be required upon employment)

List any relatives currently employed by Land of Lincoln Goodwill Industries. Indicate their relationship to you.

Education

School Level
Name & Location of School
# of years attended
Did you graduate?
Subjects Studied
Elementary School
High School
College
Trade, Business, Correspondence or Graduate School

Employment History

Start with most recent position and list experience in chronological order. Attach additional sheets if necessary.

Name of most recent employer

Address

City, State & Zip

Starting date

Leaving date

Job title

Starting salary

Final salary

Description of work

May we contact your supervisor?

Name of supervisor

Title

Phone

Reason for leaving

Name of employer

Address

City, State & Zip

Starting date

Leaving date

Job title

Starting salary

Final salary

Description of work

Name of supervisor

Title

Phone

Reason for leaving

Name of employer

Address

City, State & Zip

Starting date

Leaving date

Job title

Starting salary

Final salary

Description of work

Name of supervisor

Title

Phone

Reason for leaving

Name of employer

Address

City, State & Zip

Starting date

Leaving date

Job title

Starting salary

Final salary

Description of work

Name of supervisor

Title

Phone

Reason for leaving

Technical and Professional Credentials

Technical or Professional License Number / State in which issued

Date Issued

Is it current?

Do you have a valid Illinois Driver License?

Class

(For positions that require a drivers license)

Military Record

Were you in the Armed Forces?

If yes, what branch

Dates of Duty: From

To

Type of Discharge

References

Below, give the names of 3 persons you are not related to, whom you have known at least one year.

Name
Phone Number
Business/Affiliation
Years Acquainted

Have you ever been discharged from a job? If yes, explain in detail:

Have you ever been convicted of an offense against the law, placed on supervision, forfeited collateral, or are you now under charges for any offense against the law?

You may omit: (1) Traffic violations for which you paid a fine of $75.00 or less; (2) Any offense committed before your 17th birthday which was finally resolved in a juvenile court or under a youth offender law; and (3) Sealed or expunged records of conviction or arrest.

If yes, explain in detail:

Authorization

If it has not been completed in its entirety, we may not be able to process it.

This application is current for 90 days.

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damages that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

I understand that this is an application for employment and not an offer of employment. Furthermore, I understand that if I am offered and accept a position with Land of Lincoln Goodwill Industries, Inc., I am free to resign at any time and Land of Lincoln Goodwill Industries, Inc. reserves the right to terminate my employment at any time, with or without cause and without prior notice.

Date

Signature

Use this space to provide an explanation for any gaps in employment and/or to list special accomplishments, skills or abilities you feel would be of value on the job for which you are applying.

Please review your entire application.

If it has not been completed in its entirety, we may not be able to process it.

This application is current for 90 days.

Enter text✕

What the Goodwill Donation Form Is and Why It Matters

Goodwill Donation Form is a standardized receipt and record used when individuals or businesses donate goods to Goodwill or similar charitable organizations. It documents the donor, description and condition of donated items, donation date, estimated fair market value, and organization acknowledgment for tax and internal tracking purposes. Donors commonly use the completed form to support charitable contribution deductions when filing federal income tax returns. Modern versions may include signature blocks, witness or notarization fields, and electronic signing capabilities to meet ESIGN and UETA standards for enforceability and secure record retention.

How a Proper Donation Form Benefits Donors and Charities

A completed Goodwill Donation Form creates an auditable record that supports tax substantiation, improves inventory tracking for nonprofits, and reduces disputes about item condition or value when donating tangible personal property.

How a Proper Donation Form Benefits Donors and Charities

Who Typically Completes and Uses This Form

Individual donors, businesses, and nonprofit staff use the Goodwill Donation Form to record items, values, and acknowledgments for tax and inventory purposes.

  • Individual donors for clothing, household goods, and small electronics requiring receipt and fair-market value documentation.
  • Businesses donating surplus inventory or office goods for charitable deductions and corporate social responsibility reporting.
  • Nonprofit administrators and donation center staff tracking incoming items, condition notes, and donor contact information.

Proper completion helps all parties retain consistent records, satisfy donor substantiation rules, and streamline donation intake and bookkeeping.

Core Elements Found on a Professional Goodwill Donation Form

A clear, consistent form reduces errors and supports tax compliance; include fields and controls that capture identity, item details, valuation, and authorization.

Donor Details

Full legal name, mailing address, telephone, and email for the donor. Accurate contact data enables donor acknowledgments and any follow-up verification for substantiation.

Organization Info

Name, tax identification (EIN) of the receiving charity, and a statement confirming the organization’s tax-exempt status and receipt of the donated items.

Item Description

Detailed description of each donated item, including quantity, brand, model, and visible defects. Specific descriptions support valuation and internal resale decisions.

Condition & Value

Condition categories (new, excellent, good, fair, poor) plus estimated fair market value. Clear condition notes reduce disputes and help determine donor deduction eligibility.

Signatures

Donor signature, date, and charity representative signature with printed names. Electronic signature fields should capture audit trail information for legal validity.

Supplemental Attachments

Space to attach photos, serial numbers, or appraisal documents for high-value items. Supporting files strengthen substantiation for tax and insurance purposes.

Step-by-Step: Completing the Form in Person or Online

Follow these four steps to create a compliant donation receipt that supports donor substantiation and nonprofit records.

  • 01
    Gather Details: Collect donor contact, item list, and any photos or appraisals.
  • 02
    Fill Fields: Complete donor, item, condition, and estimated value fields.
  • 03
    Sign and Date: Obtain donor and charity signatures with dates.
  • 04
    Provide Copies: Give the donor a signed copy and keep the organization copy.

Where Completed Forms Go and How They Are Used

A clear routing process ensures donors receive receipts and charities retain records for accounting, resale, and tax compliance.

  • Donor Copy: Donor receives a signed receipt for tax records and deduction substantiation.
  • Charity File: Organization retains an original or electronic copy for inventory and audit trails.
  • Accounting Entry: Finance records donation intake for resale revenue and internal controls.
  • Tax Support: Used to support donor items on federal tax returns when required.

Configuring an Online Donation Receipt Workflow

Map each field and action to your e-sign and record-keeping platform to maintain consistency and auditability.

Field Configuration
Signature Field Required, capture audit trail
Date Field Auto-fill MM/DD/YYYY
Value Field Numeric format, two decimal places
Attachments Allow PDF and JPEG uploads

Technical Considerations for Electronic Submission

Choose systems that capture signatures, timestamps, and audit trails to support legal validity and internal controls.

  • Integrations: Salesforce, NetSuite, Google Workspace
  • File Formats: PDF, DOCX, JPEG supported
  • Authentication: Email/SMS, optional KBA

Security and Compliance Features to Protect Donation Records

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest
Audit Trail: Complete timestamped signer activity log
HIPAA: BAA available for healthcare-related records
ESIGN/UETA: Meets electronic signature legal frameworks
21 CFR Part 11: Compliant controls available
Certifications: SOC 2 Type II, ISO 27001

Consequences of Incorrect or Missing Donation Documentation

Deduction Denial: IRS may disallow claimed charitable deduction
Backup Withholding: 24% backup withholding if TIN missing
Invalid Signature: Unsigned forms may lack legal substantiation
Incorrect Valuation: Overstated values risk penalties
Data Breach: Exposure of donor PII increases liability
Record Retention Failures: Missing records complicate audits

Common Preparation Mistakes to Avoid

  • Listing items generically (for example, 'clothing') without brand, model, or quantity details undermines valuation and record clarity.
  • Failing to note visible defects or wear can produce disputes and may lead the IRS to reduce allowable deduction amounts.
  • Not obtaining donor signature or email acknowledgment prevents contemporaneous written acknowledgment required for certain deductions.
  • Storing only paper copies without secure backup increases risk of loss and complicates donor or IRS inquiries.

Timing and Substantiation Rules Donors and Charities Should Know

Timely documentation and retention support donor tax claims and meet IRS substantiation rules for charitable contributions.

Immediate Acknowledgment Required:

Provide written acknowledgment at time of donation for contributions $250 or more.

Donor Retention Recommendation:

Donors should keep receipts at least three years from tax filing year.

Charity Recordkeeping:

Maintain copies for accounting and resale processing without undue delay.

Appraisal Timing:

Obtain qualified appraisal before filing if a single item exceeds appraisal thresholds.

Electronic Consent:

If record provided electronically, document donor consent to electronic delivery.

Typical eSignature Pricing and Feature Comparison

Significant differences in pricing models and caps exist between providers; signNow appears first for vendor comparison per page guidelines.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies Varies Varies Varies
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Real-World Examples of Donation-Receipt Use

Two brief examples illustrate how accurate forms support donors and nonprofit operations.

Optica Ventures Donation

A venture firm donated office furniture to a Goodwill affiliate to support relocation efforts.

  • The firm recorded item serials and conditions.
  • The completed form and photographs enabled a smooth deduction claim and simplified the charity’s resale intake and inventory.

Healthcare Clinic Equipment

A clinic donated surplus medical equipment to a nonprofit training program with signed receipts and a BAA in place.

  • Equipment lists and service histories were attached.
  • The documentation protected patient privacy, supported tax substantiation, and allowed transparent transfer of medical assets.

FAQs and Troubleshooting: Common Questions About Donation Forms

Answers to frequent questions cover electronic signing, substantiation thresholds, recordkeeping, and handling high-value donations.


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