Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Education

Name of High School:

Did you graduate?

Name of Post-Secondary School, if applicable:

Degrees Completed:

Qualifications

Do you have your OLCC Marijuana Worker's Permit?

Yes

If yes, please provide the permit number below:

Please summarize your personal skills and qualifications:

Employment History

1. Name of Employer:

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Start Date of Employment:

YYYY

End Date of Employment:

YYYY

Title of Position:

Position Duties:

Reason for Leaving:

May we contact this employer?

Yes

2. Name of Employer:

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Start Date of Employment:

YYYY

End Date of Employment:

YYYY

Title of Position

Position Duties

Reason for Leaving:

May we contact this employer?

Yes

3. Name of Employer:

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Start of Employment:

YYYY

End of Employment:

YYYY

Title of Position:

Position Duties:

Reason for Leaving:

May we contact this employer?

Yes

Additional Information:

Additionally, please provide a link to your resume:

If you do not have your resume posted online, please send a copy to defyne@defyne.life

Thank you so much for your interest and we will get back to you soon!