Job Application - Grassberries

Your Personal Information

Your Name(Required)

First Last

Your Email Address(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Phone(Required)

Best Time To Call You(Required)

When is the best time for us to reach you via telephone?

Date of Birth(Required)

Social Security Number(Required)

Drivers License

Max. file size: 128 MB.

Do you have your Badge?(Required)

Badge

Max. file size: 128 MB.

If you don't have your badge, when can you obtain it?(Required)

Emergency Contact Info

Contact Name(Required)

Relationship to You(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Daytime Phone(Required)

Evening Phone(Required)

Position You're Applying For

Position You're Applying For(Required)

Budtender

Salary Desired(Required)

Hours You Are Available for Work(Required)

Please tell us what hours you are available for work each day of the week.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Who referred you to our company?(Required)

Do you have any friends or relatives who work here?(Required)

If Yes, please list them here.(Required)

Are you willing to work any shift, including Nights & Weekends(Required)

If no, please state any limitations(Required)

If applicable, are you available to work overtime?(Required)

If you are offered employment, when would you be available to begin work?(Required)

If hired, are you able to submit proof that you are legally eligible for employment in the United States?(Required)

Are you able to perform the essential functions of the job with or without reasonable accommodation?(Required)

What reasonable accommodation, if any, would you request?(Required)

Skills

Check those skills that you have. List any other skills that may be useful for the job you are seeking. Enter the number of years of experience, and circle the number which corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.)

Customer Service(Required)

Cash Handling(Required)

Budtending(Required)

How would you rate your Customer Service Ability (1 is Poor and 5 is Exceptional)(Required)

How would you rate your Cash Handling Ability (1 is Poor and 5 is Exceptional)(Required)

How would you rate your Budtending (1 is Poor and 5 is Exceptional)(Required)

Previous Employment

List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, continue on the back page of this application.

Your Previous Employers(Required)

Please list your previous employers, the dates you worked and the position you held

Employer

Supervisor

Address

Position

Dates

Phone

Reason for Leaving

Education & Training

High School/GED Name and Address(Required)

Did you receive a diploma?(Required)

College/University Name and Address(Required)

Did you graduate?(Required)

If yes, Degree received?(Required)

Other Training (graduate, technical, vocational):(Required)

Please indicate any current professional licenses or certifications that you hold:(Required)

Awards, Honors, Special Achievements:(Required)

References

Personal References(Required)

List any two non-relatives who would be willing to provide a reference for you.

Name

Address

Relationship

Phone

Review

Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer:

Full Name(Required)

Enter Today's Date(Required)

Work with Grassberries