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    Employment application

    GLP Services LLC is an equal opportunity employer. Applicants are considered without regard to race, color, religion (including religious dress and grooming), sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender identity, gender expression, national origin, ancestry, citizenship, age, physical or mental disability, legally protected medical condition or information including genetic information, family care status, military caregiver status, military status, veteran status, marital status, domestic partner status, sexual orientation, or other basis protected by Federal, State or local laws and regulations.

    Required field*

    Type of Employment Desired:

    Are you able to work rotating shifts?

    Are you willing to work overtime?

    Are you able to travel, if necessary?

    Do you have a valid Driver's License?

    If yes, what Class?

    Have you previously applied for employment with GLP Services or any other Greenleaf company?

    Have you ever been employed by GLP Services LLC or any other Greenleaf company?

    Are you a Veteran?

    Are you able to perform the essential functions of the position you are applying for, with or without reasonable accommodation, as described in the job description?

    Are you able to work in the physical environment described in the job description?


    High School




    Work experience

    Please list the names of your present and/or previous employers in chronological order with most recent employers listed first. Provide information for at least the most recent 10 year period. If self-employed supply the firm/company name and business references. Use additional sheets if necessary, A résumé is not a substitute for completion of Work Experience.

    Employer 1

    Employer 2

    Employer 3

    Employment history

    Have you ever been terminated involuntarily from a position?

    Has your employment ever been ended by mutual agreement?

    Have you ever been asked to resign?

    Skills and Qualifications


    Applicant's Certification and Agreement

    I certify that all information in this application, in my résumé and any supporting documents I present during the interview process are complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification for consideration for employment or if employed may result in disciplinary action, up to and including termination of employment.

    GLP Services is an at-will employer which means that employees and GLP Services has the right to terminate employment at any time, with or without advance notice, and with or without cause. Employees also may be demoted or disciplined and the terms of their employment may be altered at any time, with or without cause, at the discretion of GLP Services. No one other than the President of GLP Services has the authority to alter this arrangement, to enter into an agreement for employment for a specified period of time, or to make any agreement contrary to this at-will status. Any such agreement must be in writing, must be signed by the President of GLP Services and by the affected employee, and must express a clear and unambiguous intent to alter the at-will nature of the employment relationship.

    I understand any offer of employment will be contengent upon the satisfactory outcome of a drug screen, physical, employment verification, reference check, criminal background check and DMV verification (if applicable).

    If hired by GLP Services, I agree to conform to the policies and procedures of GLP Services including, but not limited to, GLP Services' Employee Handbook and Drug and Alcohol Policy.

    If hired by GLP Services, I understand and agree that as a condition of employment and to the extent permitted by Federal, State and local laws, I may be required to sign a confidentiality, restrictive covenant, and/or conflict of interest statement.

    If hired by GLP Services, I understand that I will be required to complete a Department of Homeland Security Employment Eligibility Verification Form (Form I-9) and present acceptable documentation verifying my identity and eligibility to work in the United States.

    I authorize GLP Services and/or its agents to confirm all statements contained in this application and/or my submitted résumé as it relates to the position I am seeking to the extent permitted by Federal, State and local laws. I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by Federal, State and local laws, GLP Services and any party delivering information to GLP Services or its duly authorized representative pursuant to authorization from any liability, claims, charges or causes of action which I may have as a result of the delivery or disclosure of the above requested information. I hereby release from liability GLP Services and its representative for seeking such information and all other persons, corporations, or organization for furnishing such information. Further, if hired, I authorize GLP Services to provide truthful information concerning my employment to future employers and hold GLP Services harmless for providing such information.

    I understand this application will be considered active for a maximum of sixty (60) days. If I wish to be considered for employment after that time, I understand I must reapply.

    I certify that all of the information that I have provided on this application is true, accurate and complete.

    Do not sign until you have read all of the information contained in the application.

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