Madison, WI Landscaper
Madison SnowPlowing Service

Maple Leaf Employment Application
Lawn Maintenance

Use this form only to apply for Lawn Maintenance positions.
Please be as accurate and complete as possible. All fields with must be filled in.

PERSONAL INFORMATION
Your name
Address:
City, State, ZIP:
Phone Number:
e-mail address:
Please double check to be sure your contact information is correct!
Do you have a valid Driver's License? Yes   or  No
Special Licenses Held such as CDL Yes   or  No
If you do not have a valid license stop the application process now!
An interview with Maple Leaf WILL NOT OCCUR without a drivers license.
EMPLOYMENT HISTORY (Begin with the most recent)
Company Name:
     Address:
     Dates Employed:
     Title:
     Job notes, tasks performed,
     and reason for leaving:
Company Name:
     Address:
     Dates Employed:
     Title:
     Job notes, tasks performed,
     and reason for leaving:
Company Name:
     Address:
     Dates Employed:
     Title:
     Job notes, tasks performed,
     and reason for leaving:
EDUCATION
High School:
     Graduate/Degree?
     Major/Subjects Studied:
Other School:
     Graduate/Degree?
     Major/Subjects Studied:
Certificates Earned:
Maple leaf is committed to providing equal employment opportunities to qualified individuals with disabilities. This may include providing reasonable accommodation where appropriate in order for an otherwise qualified individual to perform the essential functions of the job, unless doing so would cause an undue hardship for the company. If you were offered the job for which you are applying, would you need Maple Leaf to provide any physical accommodations in order for you to properly perform the work?      
Yes   or   No
If yes, please list the disability and/or accommodations you may need:
POSITION & EXPERIENCE LEVEL
Position(s) you are applying for:  Lawn Maintenance,  Landscaping,  Snow Removal,
Fertilizer and Weed Control,  Office
Available Start Date:
Desired Pay Range:
Currently Employed?
Yes   or   No
May we contact your current employer? Yes   or   No
If we may not contact your current employer, why?
Years of hardscape/softscape experience; materials & equipment used:
Years of lawn maintenance/Fertilizer & Weed Control experience and equipment used:
Certifications/Licenses Held:
Years of snow removal experience and equipment used:
Any Additional Information:
How did you hear about us?
I understand that Maple leaf will check references, my driving record and criminal background and I certify that information contained in this application is true and complete. I understand that false information may be grounds or not hiring me or for immediate termination of employment at any point and in the future if I am hired. I authorize the verification of any or all information listed above. I understand a representative from Maple leaf will contact me to set up an interview if I have met the necessary qualifications.
Your Electronic Signature 
Date 
NOTE:
Maple Leaf is an at-will employer. This means that either Maple Leaf or the employee may terminate the employment relationship at anytime for any reason. If called for an interview the applicant must bring in abstract of their driving record to the interview. Contact DOT at 608-261-2566 at least 2 business days before the interview. A hiring decision will not be made until the abstract is received.

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