Application Please fill out the form below if you are interested in working at The Green House. Thank you for your interest! Your Name (required) Email Address (required) Phone Number (required) Street Address (required) City (required) State or Province (required) Job Position Applied For: (required) Are you at least 16 years of age? YesNo Are you a citizen of the United States? YesNo If no, are you authorized to work in the U.S.? YesNo How will you get to work? (required) Please provide employment history: Please provide education history: (required) Please list three professional references: (required) Your Resume (Optional): If you are offered employment, when would you be available to begin work? Please provide any other information that you believe should be considered: Disclaimer and Signature I certify the information provided on the 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 The Green House of Carlton Inc. 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 signed or on behalf of the organization by its representative the employment relationship will be entirely voluntary in nature. In other words, with appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer would have the same right. Moreover, no agent, representative, or employee of The Green House of Carlton Inc., except in a specific written contract of employment signed on behalf of the organization by its representative has the power to alter or vary the voluntary nature of the employment relationship. I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS. Please enter your name: Please enter today's date: