The Healthy Place to Work

Greenlife At A Glance
Who Is Greenlife?
OUR MISSION: To operate and grow a Successful Service Based Business that will Nurture our
Community by providing a Green Market Place dedicated to Sustainable Practices and the Love
of Food.
Why Work for Greenlife?

At Greenlife, we value our staff members and the efforts they make to make Greenlife a great place to work
and shop, so we strive to provide our staff with the most comprehensive employment package possible.
Below is a quick summary of what is available to you as a Greenlife staff member:

Competitive Wages
Staff Member Quarterly Incentive Plan (Short and Long Term)
• The plan is a quarterly incentive based on a % of wages paid calculation and is based on store
operations and comparison to industry results.
Paid Time Off Program (to be used for all vacation time, sick time and holidays)
• Based on staff members total hours worked
• Balances build and rollover from year to year
• Annual PTO hours earned increase based on years of service
• Year 1 PTO hours accrued based on 40 hours per week:
o Non-management = 70
o Management = 120
Employee Assistance Program – access to counseling, financial, legal and work/life services (covers you
and your dependents)
Generous Staff Member Discount on store purchases

In addition, all Full-Time Staff Members (32+ hours per week) are eligible for healthcare benefits. You
become eligible for healthcare benefits on the first day of the month following 90 days of employment.

Medical Plan – Company Sponsored (you have the option of a High Deductible Health Plan with HSA
or a PPO plan)
Health Savings Accounts (HSA) – dollar for dollar match by Greenlife up to the deductible amount
(you must have the High Deductible Health Plan to qualify for a Health Savings Account)
Dental Insurance
Vision Insurance
Short Term Disability
Long Term Disability – Company Paid
Life Insurance – Company Paid for you and your dependents
Wellness Program - includes Fitness and Tobacco Cessation Reimbursement as well as a discount on
the medical plan with Tobacco Cessation Certification/Pledge

Further details on health and wellness plans can be found in Greenlife’s Health and Wellness Benefits Guide.
Please see the Store Manager or Human Resources Department if you have questions regarding employment
or benefits at Greenlife Grocery.

1/1/08
 Employment Application
Location:
Asheville
Chattanooga – Two Northshore
Home Office

Position Applied For: __________________________________ Date of Application: __________________

PERSONAL INFORMATION
Name (First, Middle, Last):
Street Address:
City / State / Zip:
Home Phone: Cell Phone:

Please check response:

Are you legally eligible to work in the United States?
Yes
No (Proof of eligibility will be required upon offer of employment.)

Are you over the age of 18 years?
Yes
No (If no, you may be required to provide authorization.)

Have you ever applied for work here before?
Yes
No If yes, please give date:
Have you ever been employed here before?
Yes
No If yes, please give date:
Are you employed now?
Yes
No
May we contact your present employer?
Yes
No
Have you ever been convicted of a felony?
Yes
No
If yes, please explain?
Please check the following category that best
summarizes your available hours.
Full Time
Part Time
Shift Work
Temporary
Can you travel if the job requires it?
Yes
No
Are you on a layoff and subject to recall?
Yes
No
Did anyone refer you to Greenlife? If so, who?
On what date will you be available to work?

DAYS AND HOURS AVAILABLE

Day Sunday Monday Tuesday Wednesday Thursday Friday Saturday
AM
PM

EDUCATION
High School College/University Graduate/Professional
School Name
Location of School
No. of years completed/Degree
Describe course of study

PERSONAL REFERENCES (Please list three references who are not related to you and are not previous employers.)
Name Address Daytime Phone No. Relationship Years known

Page 1 of 3 Rev. 12/1/07

 Honors Received: (State any additional information that you feel may be helpful in considering your application.)

Describe any specialized training, apprenticeships, licenses or skills.

Do you speak a foreign language?
Yes
No If so, what language?

Please note your ability to read and
write in that language.

EMPLOYMENT HISTORY (Please begin with current or most recent employer.)

Company Name and Phone Number
Mailing Address:
Job Title: Reason for Leaving:
From: To: Starting: Final:
Employment Dates: Hourly rate / Salary:

Work Performed:

Company Name and Phone Number

Mailing Address:
Job Title: Reason for Leaving:
From: To: Starting: Final:
Employment Dates: Hourly rate / Salary:

Work Performed:

Company Name and Phone Number

Mailing Address:

Job Title: Reason for Leaving:

From: To: Starting: Final:
Employment Dates: Hourly rate / Salary:

Work Performed:

*If you need additional space, please continue on a separate sheet of paper.

The information provided in this Employment Application is true, correct, and complete. If employed, any misstatement or omission of
fact on this application may result in my dismissal. I authorize you to engage a consumer reporting agency to investigate my credit and
personal history. If a report is obtained you must provide, at my request, the name and address of the agency so that I may obtain from
the nature and substance of the report. I understand that an offer of employment does not create a contractual obligation upon the
employer to continue to employ me in the future. I further understand that should an offer of employment be extended by Greenlife
Grocery, that such employment with Greenlife is at will, for no specified duration and may be terminated by either Greenlife or myself at
any time, with or without cause or notice. (NOTE: Offers of employment are contingent upon checking references and final approval
from the Greenlife Home Office.)

Applicant Signature: ______________________________________________ Date: ______________________

This company is a smoke-free workplace in compliance with the Non-Smoker Protection Act, Tennessee Code Annotated §§ 39-17-
1801-1810. In accordance with that law and company policy, smoking is prohibited in enclosed areas on company property.

Greenlife Grocery is proud to be an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion,
gender, national origin, age, disability, veteran status or any other status protected by law.
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 Personality Survey

*This survey is just for fun – it is optional and does not determine hiring.

Why do you want to work in the natural foods industry? _______________________________

________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

If you were stranded on a desert island, what three things would you choose to have? ______
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

List your favorite hobbies: _________________________________________________________

________________________________________________________________________________

What animal would you be and why? ________________________________________________

________________________________________________________________________________

What is your pet peeve? ___________________________________________________________

________________________________________________________________________________

Write your own definition for the word “Flibbertigibbet.” ________________________________

________________________________________________________________________________
________________________________________________________________________________

The best invention in history was ___________________________________________________

________________________________________________________________________________

Page 3 of 3 Rev. 12/1/07