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Are you looking for a job in the Cannabis Industry?
Contact Us for Job Opportunities available at Cannabis Connection Delivery Service.
CANNABIS CONNECTION LLC EMPLOYMENT APPLICATION
(Please complete the entire application)
Employer Information
Cannabis Connection LLC
65 Elizabeth St
Derby, CT, 06418
203-361-9645
It is the policy of Cannabis Connection LLC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.
Desired Position:
2. Applicant Information
Applicant Full Name
Address
City
State
Zip
Mobile No.
3. Have you previously applied to our company
4. Are you atleast 21 years old?
5. How will you get to work?
6. Are you willing to work any shift, including nights and weekends
If No, Please state any limitations
7. If applicable, are you availaible to work overtime?
8. If you are offered employment, when would you be availaible to begin work?
9. If hired, are you able to submit proof that you are legally eligible for employment in the United States and hold a valid Connecticut Driver’s License?
Applicant 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 excellent ability).
Ability
Typing
Microsoft Office Suite (Word, Excel, etc.)
Accounting/Bookkeeping
Customer Service
Delivery Driver
Cannabis industry
Others
Applicant Employment History
List your current or most recent employment. Please list 2 jobs (including self – employment and military services) which you have held, beginning with the most recent, and please list and explain any gaps in employment. If you cannot list 2 jobs please describe in Employment History Notes why:
1
Employer Name
Supervisor Name
Address
City
State
Zip
Job duties
Reason for leaving
2
Employer Name
Supervisor Name
Address
City
State
Zip
Job duties
Reason for leaving
Employment History Notes:
Applicant’s Education and Training
Did you receive a High School Diploma degree or GED?
Did you receive a College degree?
Please Indicate any current professional licenses or certifications that you hold:
Military Services:
Branch / Specialized Training:
12. References
List any two non – relatives who would be willing to provide a reference for you.
1
Name
Address
City
State
Zip
Telephone
Relationship
2
Name
Address
City
State
Zip
Telephone
Relationship
13. Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer:
CERTIFICATION
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.
I authorize Cannabis Connection LLC to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. If an employment relationship is created, I understand that unless I am offered a specific written contract of employment by Cannabis Connection LLC this document does not represent employment approval. If your application is accepted, you will be required to submit a Background Check and DMV driving record checks at the expense of Cannabis Connection LLC which is also relayed to the Department of Consumer Protection for verification prior to officially hiring any Cannabis Connection LLC Employee.
Name
Date
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