Green Mountain Support Services, Inc. provides person-centered, therapeutic services to individuals with developmental disabilities, brain injuries and dementia. We continue to expand and currently invite applications from individuals interested in joining our team.

A valid Vermont driver’s license and reliable transportation are needed for all positions. Back ground checks will be performed on all potential candidates. We provide outstanding training and support to all team members. Interested candidates should complete the online application below or call Michelle at 802.888.7602 and ask for an employment application to be mailed to you.


 APPLICATION FOR EMPLOYMENT

Green Mountain Support Services, INC.

109 Professional Drive, Suite #3, Morrisville, VT 05661

Applicants for employment will receive consideration without regard to race, color, religion, ancestry, national origin, sex, and sexual orientation, and gender identity, place of birth, age, physical mental condition, martial or civil union status or disability, uniformed service, veteran status, citizenship, a positive result from an HIV related test, genetic information or any other legally protected status,  unless a bona-fide qualification for the job. Green Mountain Support Services, Inc. (Agency) provides equal opportunity with regard to all terms and conditions of employment.  Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the organization.

Write only in the areas provided. If you require more space, please staple additional paper to the application. This application must be completed in full, even if a resume is attached. Stray marks or failure to complete all parts of this application may result in rejection of this application.

This application will remain on file for 12 months from date of receipt.

I heard about these job opportunities from:
SECTION 1 – Applicant Information:
Date of Application:
Date of Application:
Name:
Name:
Address:
Address:
Phone #:
Phone #:
Cell Phone:
Cell Phone:
SECTION 2 – Position Information:
What position are you applying for?
When are you available to start?
When are you available to start?
When are you available to start?
Can you work Nights?
Have you ever done this type of work before?
Section 3 - Background:
Are you legally eligible to work in the United States?
Have you ever been convicted of a crime?
Have you ever had a charge of abuse or neglect substantiated against you or have you been convicted of an offense for actions related to bodily injury, theft or misuse of funds or property, or other crimes inimical to the public welfare, in any jurisdiction whether within, or outside of, the State of Vermont?
Record of convictions (s) on criminal charges or substantial findings, will not necessarily bar an applicant from consideration for employment. This data will be one factor considered in light of the relationship of the nature of the conviction to the position for which you are applying.

Have you ever been formally disciplined, asked to resign or been terminated by a former employer for any reason?

Please complete if applying for a position that requires driving as part of the job:

Do you have a reliable and insured vehicle?
Do you have a valid driver’s license?
Have you had any traffic violations within the past three years?
SECTION 4 – Education & Experience:
Did you graduate?
GED?
Did you graduate?
Did you graduate?
Did you graduate?

Employment History (start with present or most recent employer):

Telephone #
Telephone #

Employment Dates

Start Date
Start Date
End Date
End Date
Can we contact this Employer?
Telephone #
Telephone #

Employment Dates

Start Date
Start Date
End Date
End Date
Can we contact this Employer?
Telephone #
Telephone #

Employment Dates

Start Date
Start Date
End Date
End Date
Can we contact this Employer?

Personal References:

Name:
Name:
Phone Number:
Phone Number:
Address:
Address:
Name:
Name:
Phone Number:
Phone Number:
Address:
Address:
CERTIFICATION AND RELEASE AUTHORIZATION
*PLEASE READ CAREFULLY BEFORE SIGNING* I hereby certify that all of the information provided by me in this application, resume, related documents and interviews is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in any of the above may be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery. I understand that as part of the consideration process, Green Mountain Support Services is required to submit my name to the VT Agency of Human Services Departments of Children and Families and Adult Protective Services as well as the Vermont Criminal Information Center, Vermont Department of Motor Vehicles and Office of the Inspector General in order to conduct criminal and other background checks. I hereby authorize Green Mountain Support Services, Inc. to do so. I also authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to Green Mountain Support Services, Inc. and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information. I understand that any offer of employment by Green Mountain Support Services, Inc. is contingent upon the content of information received from the above, and that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these checks may result in denial of employment, withdrawal of any employment offer, or termination of employment if already employed. Employment at Green Mountain Support Services is referred to as “employment at will.” This means that if I am hired, my employment can be terminated at any time for any reason, with or without cause, with or without notice, by me or Green Mountain Support Services. If I become employed, enter into a contract or am placed in a volunteer position with Green Mountain Support Services, then I agree to abide by all the Agency’s policies, procedures, rules and regulations, any applicable code of ethics, professional licensure rules and applicable laws. I acknowledge and agree that if I choose to submit this Employment Application to Green Mountain Support Services via fax or electronically, then by doing so my pre-employment authorizations, certifications, releases, and agreements outlined above are valid, effective, and binding with a copy of my signature or without any signature and are granted by virtue of my submission of this application by fax or electronic means, respectively (Example: by submitting a pdf file using GMSS’ website)
By signing below I acknowledge that I have read, understand and agree to the above statements. *
By signing below I acknowledge that I have read, understand and agree to the above statements.
Date: *
Date: