Groovy Plants Ranch Application

Full Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Have you ever been convicted of a criminal offense? (Do not include minor traffic violations or arrests that did not result in conviction.) A conviction will not necessarily disqualify you from employment.

If yes, Please explain

Are you legally authorized to work in the United States?

I am applying for the following position(s)

I am available to work weekends.

This position requires standing, walking, lifting, bending, and squatting. Are you able to perform the essential physical job functions with or without reasonable accommodation?

Are you able to work full-time (30-40 hours, 5 shifts per week)?

Knowing we are open every day in May, will you have full availability to work the entire month of May, including Mothers Day?

If no, please provide dates you will not be available in May.

This position requires working outdoors in various weather conditions including heat, cold, and precipitation. Are you able to perform this essential function with or without reasonable accommodation?

This position requires regularly lifting and moving items weighing up to 40 lbs. Are you able to perform this essential function with or without reasonable accommodation?

Employment History

Education

Reference 1

Reference 2

Reference 3

Groovy Plants Ranch is an equal opportunity employer and follows all laws, including the ADA to provide fair changes and reasonable accommodations.

By submitting this form, I confirm that everything I have shared is true, and I understand that giving false information could affect my employment at GPR. I understand employment at GPR is at-will, meaning either party can end employment at any time.

Employment Application