Your Full Name, First and Last

Your email

Position Applied For

Your Address

Your Best Contact Number

Position Applied For:

Desired Wage:

Are you authorized to work in the US?
YESNO

Do you have reliable transportation?
YESNO

Are you at least 21 years old?
YESNO

Please list the High School you attended.

Please list the College you attended.

City / State of College.

Degree

Did you graduate?
YESNO

Please list any other education or certifications

Do you have a valid Cannabis Employee Permit?
YESNO

Please list two professional references

Reference #1 - Full Name

Reference #1 - Company

Reference #1 - Relationship

Reference #1 - Phone Number

Reference #2 - Full Name

Reference #2 - Company

Reference #2 - Relationship

Reference #2 - Phone Number

Previous Employment ( Last 10 Years )

Past Employment #1
Please list the following: Company, Address, Position,Responsibilities

Past Employment #1 - Contact Phone Number

May we contact your previous supervisor for a reference?
YESNO

Past Employment #2
Please list the following: Company, Address, Position,Responsibilities

Past Employment #2 - Contact Phone Number

May we contact your previous supervisor for a reference?
YESNO

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Your employment with the Company is a voluntary one and is subject to termination by you or the Company at will, with or without cause, and with or without notice, at any time. Nothing in this application shall be interpreted to be in conflict with or to eliminate or modify in any way the employment-at-will status of the Company employees.

I hereby authorize my former employers, educational institutions, and persons named herein as professional references to verify the information provided in this application, and I release them from any and all liabilities or damage arising because of furnishing such information.

Please type your name below acknowledging you have read and approved the above information.