Name *

First Name

Last Name

Phone

(###)

###

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Do you currently have your Mississippi Cannabis Work permit? *

Yes

No

Do you currently have your Mississippi Cannabis User card? *

Yes

No

Can you work weekends? *

Yes

No

Can you work evenings? *

Yes

No

Only during the week

Only on weekends

Job you are interested in? *

Manager

Lead Budtender

Junior Budtender

Office Assistant

Location you want to work at *

Spillway Dispensary

Open Mind Dispensary

Both

Preferred Start Date *

MM

DD

YYYY

Name

First Name

Last Name

Phone

(###)

###

####

Name

First Name

Last Name

Phone

(###)

###

####

Name

First Name

Last Name

Phone

(###)

###

####