3550 E. Mound Rd.
Decatur, IL 62521
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217-864-4125

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Please contact us with any questions or concerns via email at hr@greenvalleyinc.com
All applications are held for 1 year.

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PERSONAL INFORMATION
*
First Middle Last
Email*
Home Phone*
Mobile Phone*
*
Street Address City State / Province / Region ZIP / Postal Code
Are you legally entitled to work in the United States?*
Proof of citizenship or immigration status will be required upon employment.
- Yes
- No
Did you sign a non-compete agreement at any of your previous employers?*
If yes, please provide a copy of the non-compete(s) with your application.
- Yes
- No
Have you ever completed a Green Valley Manufacturing of Illinois application before?*
- Yes
- No
If yes, when?
Have you ever been employed by Green Valley Manufacturing of Illinois?*
- Yes
- No
If yes, when and what position?

POSITION/JOB INTEREST
Job you are applying for*
Status Preferred*
- Full Time
- Part Time
Status Prefered Cont.*
- Regular
- Temporary
Shift Preference*
- First
- Second
- Either
Date available to begin employment*
MM slash DD slash YYYY
Rate of pay desired*

EDUCATION
This information will be used only where relevant to assist in determining your suitability for the position you seek.
HIGH SCHOOL
High School Name*
Location (City, State)*
Number of years completed*
- 1
- 2
- 3
- 4
Degree/Certification Earned*
COLLEGE
College Name
Location (City, State)
Number of years completed
- 1
- 2
- 3
- 4
Degree/Certification Earned
Major course of study
ADDITIONAL COLLEGE
College Name
Location (City, State)
Number of years completed
- 1
- 2
- 3
- 4
Degree/Certification Earned
Major Course of Study
CERTIFICATIONS
Certifications
Location (City, State)
Number of years completed
Please enter a number from 1 to 25.
Degree/Certification Earned
Major course of study

MILITARY SERVICE
Do you now or have you ever served in the US Military?*
- Yes
- No
Please check any branch of the U.S. Military you have served in:*
- Air Force
- Army
- Coast Guard
- Marines
- National Guard
- Navy
From*
DD dash MM dash YYYY
To*
DD dash MM dash YYYY
Are you currently serving?*
- Yes
- No
Were you discharged?*
- Yes
- No
Rank or Rating upon discharge*
Reason for discharge*

REFERENCES
Please include employment/education references only.
Name*
First Last
How do you know him/her?*
Company*
Occupation*
City, State*
Phone*
Name*
First Last
How do you know him/her?*
Company*
Occupation*
City, State*
Phone*
Would you like to add a 3rd reference?
- No
- Yes
Name
First Last
How do you know him/her?
Company
Occupation
City, State
Phone

You may upload either a PDF or a Word Document.
File*
Accepted file types: pdf, docx, Max. file size: 512 MB.

REFERRAL
How did you hear about us?*
Other

3550 E. Mound Rd.
Decatur, IL 62521
217-864-4125
inquiry@greenvalleyinc.com

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Monday	8am > 5pm
Tuesday	8am > 5pm
Wednesday	8am > 5pm
Thursday	8am > 5pm
Friday	8am > 5pm
Saturday	Closed
Sunday	Closed

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Latest Products

40,000 lb. Transporter (205284)
2 x 2,000 lb. Die Cart (226081)
20,000 lb. Telescoping Storage Rack (225920)

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