Employment Application
Applicant Information
Do you have any trips planned or need more than 3 days off consecutively in the next year? If so, please list time and dates.
Also please list any specific work accommodations you require or specific in and out times. If under 18 or in high school a work permit is required and will be need to be provided prior to hiring.
explain:
Education Information






Instructions:

   1) Fill in all appropriate 
      fields.

   2) If you need to start
      over, click 
'Reset' 
     on the upper right of
     the page.

   3) When complete, click 
'Submit Application'
     to the left of 
     signature.

   4) You will be returned 
      to the Employment 
      Main page if 
      submission is 
      successful.

     Thank You,
     Cabbage Shed 
     Management
References Information
Previous Employment Information
Military Service Information
If other than honorable, explain:
Disclaimer and Signature Information
Click Submit
When Complete!!!
Copyright 2017. The Cabbage Shed LLC (An Arizona LLC). All Rights Reserved.
Scroll Down...
Scroll Down...
Scroll Down...
Full Name:  Last: 
First:
MI: 
Address:
Street:
Apt/Unit:
City:
Zip:
State:
Phone (000-000-0000):
Email:
Date Available (mm/dd/yyy):
Desired Salary $/hr:
Social Security No. (xxx-xx-xxxx):
Are you a citizen of the United States?  
Position Applying for:
I am available to work the following days and times: (Check all that apply)
If no, are you authorized to work in the U.S.?
Have you ever worked for Cabbage Shed?
If yes, what was your last work day (mm/dd/yyyy):
Have you ever been convicted of a felony?
If yes, describe:
Work Availability:
High School Name:
High School Address:
From (yyyy) :
To (yyyy) :
Diploma:
Did you graduate?
From (yyyy) :
To (yyyy) :
Did you graduate?
College Name :
College Address:
Other Name:
Degree:
From (yyyy) :
To (yyyy) :
Did you graduate?
Degree:
Other Address:
Please list three professional references.
Full Name:
Address:
Relationship:
Company:
Phone:
Full Name:
Address:
Relationship:
Company:
Phone:
Full Name:
Address:
Relationship:
Company:
Phone:
Job Title:
Company:                                                                                                               Phone:
Phone:
Address:
Supervisor:
Responsibilities:
Starting Salary ($/hr):
Ending Salary ($/hr):
May we contact your previous supervisor for a reference?
From (yyyy):
Reason for Leaving:
To (yyyy):
Job Title:
Company:                                                                                                               Phone:
Phone:
Address:
Supervisor:
Responsibilities:
Starting Salary ($/hr):
Ending Salary ($/hr):
May we contact your previous supervisor for a reference?
From (yyyy):
Reason for Leaving:
To (yyyy):
Job Title:
Company:                                                                                                               Phone:
Phone:
Address:
Supervisor:
Responsibilities:
Starting Salary ($/hr):
Ending Salary ($/hr):
May we contact your previous supervisor for a reference?
From (yyyy):
Reason for Leaving:
To (yyyy):
Branch:
From (yyyy):
To (yyyy):
Rank at Discharge:
Type of Discharge:
I certify that my answers are true and complete to the best of my knowledge. 
If this application leads to employment, I understand that The Cabbage Shed is designated as a seasonal employer and at any time my employment may be terminated.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature (Type Full Name):
Date (mm/dd/yyyy):
Read the instructions on left side.
When complete click 'Submit Application' at bottom of page on left.
Yes
No
Yes
No
Yes
No
Yes
No
Mon
Thurs
Wed
Tues
Fri
Sat
Sun
PM
AM
PM
AM
PM
AM
PM
AM
PM
AM
PM
AM
PM
AM
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No