Lawrence

True Leaf Employment Application

What location are you applying to?LawrenceKalamazooCheck all that apply.

What position are you applying to?GrowDispensaryProcessingCheck all that apply.

Application Info

First Name *

Middle Name

Last Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone Number

Email Address *

Date Available

Preferred ShiftDaySwingThird

Are you a citizen of the United StatesYesNo

Are you authorized to work in the U.S.?YesNo

Have you ever been convicted of a felony?YesNo

Explain

References

Company #1

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone

Company #2

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone

Company #3

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone

Previous Employment

Company #1

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Supervisor Phone

Job Title

Responsibilities

From

To

Reason for leaving

May we contact your previous supervisor for reference?YesNo

Company #2

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Supervisor Phone

Job Title

Responsibilities

From

To

Reason for leaving

May we contact your previous supervisor for reference?YesNo

Company #3

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Supervisor Phone

Job Title

Responsibilities

From

To

Reason for leaving

May we contact your previous supervisor for reference?YesNo

Comments

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.

The State of Michigan requires a criminal history background check, and the results of the criminal background check may prevent hiring an applicant or be grounds for employment termination.

Signature

Date

Discover the difference

Lawrence