GIH

Green Island Herb – Medical Cannabis on Verona Island, Maine

GIH Application

First Name *

Last Name *

Email *

Date of Birth (Must be over 21)

Phone *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Do you have reliable transportation? *

Do you have a RIC certification? *

Have you been convicted of a crime? *

What’s your availability? *

Educational History *

Work History *

List 4 non-family References *

Have you worked in Retail with a register before? Explain. *

Have you ever shopped with us or been to our store? *

What is your expected pay rate? *

Is there anything else you would like us to know?

By submitting your information, you’re agreeing to our non disclosure policy.

I agree to the above and understand that failure to comply may result in immediate termination.

Email

Green Island Herb – Medical Cannabis on Verona Island, Maine