Gladney’s LLC New Hire Employment Package

Gladney’s LLC New Hire Employment Package

7611 Pines Rd, 71129, 318-828-2774
Welcome to Gladney's LLC We look forward to working with you and hope you enjoy your working experience with us.
- Please complete the required areas (marked with a red asterisk * ) throughout the packet.
- When finished, you will need to electronically submit this packet by clicking on Submit at the end. An option to print a copy of this form is available at the end.
- You will also need to bring the following to your first day on the job:
  - Valid Driver License, or if under 16, a School ID, or other acceptable ID listed under I-9, page 3.
  - Social Security Card, Birth Certificate, or Passport
  - At the beginning of your first shift, you will sign your completed W-9, I-9, Authorization for Direct Deposit, and Acknowledgment of Receipt of Employee Handbook which will be generated by filling out this New Hire Employment Package.
- All items must be submitted to your Manager before you begin working your first shift. Late items will result in a delayed paycheck.
- Please contact Cardell Murphy at 1(866)317-0725 if you have any questions about your employment with Gladney's LLC
Personal Information
Name*

First NameLast Name
Social Security Number*
XXX-XX-XXX
Personal Email*
example@example.com
Cell Number*

Area CodePhone Number
Home Number

Area CodePhone Number
Personal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Ethnic Origin*

African American/BlackAmerican Indian/Alaskan NativeAsianHispanic or LatinoNative Hawaiian/Pacific IslanderTwo or more racesUnknownWhite
Disabled*

YesNo
Veteran*

YesNo
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Relationship to Self*

SpouseParentChildRelativeFriendOther
What is the best way to contact them in the event of an emergency?*

Cell PhoneHome PhoneWork Phone
Please provide phone numbers, specifically the number they are best to be contacted on.
Cell Number

Area CodePhone Number
Home Number

Area CodePhone Number
Work Number

Area CodePhone Number
Miscellaneous Information
Are You a Relative of a Current Gladney’s LLC Employee?*

Yes*No
*If Yes, Please Give Name of Relative

First NameLast Name
What are the days of the week you are available to work?
Days of the week (M,Tu,W,Th,F,Sa,Su)
What position are you applying for?*

CookHostServerBartenderDishwasherPrep CookJanitor
What hours of the day are you available to work?
Ex: 8am-12pm, 4pm-8pm
Are there days of the week or hours in a day that you cannot work due to school, family obligations or other employment?
Driver License Authorization
As an employee of Gladney's LLC and over the age of 15, I consent and authorize Gladney's LLC and its designees to obtain information from the STATE Driver License Division (“Division”) relating to my driving record. Information to be provided by the Division includes name, driver’s license number, date of issuance, whether the license is valid, driving incidents, and reports, and other similar driver information specific to employees of Gladney's LLC
If you are under the age of 15 and/or do not have a driver's license, please indicate by clicking the N/A button. You will still need to sign and date this section.

N/A
Signature for Driver License Authorization*
Date Signed*

MonthDayYear
Date
Upload Unexpired Identification *

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Upload Social Security Card *

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W-9

Independent Contractor
You will sign your completed W-9 form at the beginning of your first shift with your manager.
I-9
The link to the Department of Homeland Security Form I-9 is below. A new tab will open when you click on it. The form is a fillable PDF that you will be able to download with your changes filled in. Complete Page 1 to the signature section of the form. Once you have referred to the instructions that accompany the form, download the completed form with your changes to your computer.

Click Here to View and Fill-In the Department of Homeland Security I-9
Upload Your Completed I-9 Here

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You will sign your completed I-9 format the beginning of your first shift with your manager.
Authorization for Direct Deposit
Gladenys LLC encourages and recommends all employees use direct deposit for their paychecks. If you do not have a bank account, please indicate below and a paper paycheck will be generated for you each pay period.
I do not have a bank account and need my paychecks printed.

Yes
The link to the Authorization for Direct Deposit is below. A new tab will open when you click on it. The form is fillable and you will be able to download it to your computer with your information and signature filled in.

Click Here to View and Fill-In the Authorization for Direct Deposit
Upload Your Completed Authorization for Direct Deposit

Browse Files
Upload PDF Cancelof
Employee Handbook
As an employee of Gladney's LLC, you will be expected to abide by the standards contained in the Employee Handbook.
Acknowledgment
Required*

I confirm that all information in this form is true and accurate.I agree that I have completed and uploaded the required documents: W-9, I-9, Authorization for Direct Deposit (If Applicable) and Employee Acknowledgment of Receipt of Employee Handbook
Applicant's Signature*
Date Signed*

MonthDayYear
Date
Should be Empty:

Gladney’s LLC New Hire Employment Package

Personal Information

Emergency Contact Information

Miscellaneous Information

Driver License Authorization

W-9

I-9

Authorization for Direct Deposit

Employee Handbook

Acknowledgment