Madison, WI Landscaper
Madison SnowPlowing Service

Maple Leaf Employment Application

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
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: 
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 authorize Maple Leaf Inc. to inquire into my employment, financial, driving, or other related histories as may be necessary in arriving at an employment decision. I hereby release employers, schools, the State Department of Motor Vehicles, and other persons from all liability in responding to inquiries and releasing information in connection with my application. This information will remain confidential and will be used solely to evaluate my candidacy for employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand that Maple Leaf Inc. is an at-will employer and that either Maple Leaf Inc. or myself may terminate the employment relationship at any time for any reason.
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.

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