Green Shack Application

Green Shack Application

Fill out the application below and we will get back to you as soon as we can.
Personal Information
What position are you applying for?*
Name*

First NameLast Name
E-mail*
Social Security Number*
Driver's License Number*
Please upload a copy of your Driver's License or ID card. (File types allowed: .gif, .png, .jpg, .jpeg - 5mp limit)

Upload a File

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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Have you ever been convicted of a felony?*

YesNo
If so, Explain
Please list your skills in full detail*
Education
High School Name
Date of Graduation

MonthDayYear
College or University
Major or Degree
Date of College Graduation

MonthDayYear
Work History
Company Name
Job Title / Position
Responsibilities
Phone Number

Area CodePhone Number
Name and Position of Supervisor
From

MonthDayYear
To

MonthDayYear
May we contact your previous supervisor for a reference?

YesNo
Company Name
Job Title / Position
Responsibilities
Phone Number

Area CodePhone Number
Name and position of supervisor
From

MonthDayYear
To

MonthDayYear
May we contact your previous supervisor for a reference?

YesNo
Military Service

If applicable
Branch
From

MonthDayYear
To

MonthDayYear
Rank at Discharge
Type of Discharge
If other than honorable, explain:
Check box to consent to having your background checked.*

I consent to having my background checked.
Should be Empty:

Personal Information