Employment

Maple Leaf Services, Inc. has a variety of employment opportunities ranging from a few hours a week to full time positions. There are numerous shifts including AM, PM, and Overnight. We provide employment opportunities in many locations throughout the Fillmore County area.

Current Positions Available

Rushford:
LPN: Part Time Day Shift 6A-6P
Preston:
Overnight: Full Time 6P-6A
Overnight: Part Time 6P-6A Every 3rd weekend
AM: Part Time 6A-6P Every other weekend/holiday
Spring Valley:
PM: Part Time 2P-10P Every other weekend/holiday

To Applicant: We appreciate your interested in employment at Maple Leaf Services, Inc. and are sincerely interested in your qualifications. We will consider all applicants regardless of race, creed, color, sex, age, national origin, handicap, sexual orientation, veteran status, non-job-related medical condition or handicap or any legally protected status.

Employment Application

* Name

First

Last

* Address

Street Address

Address Line 2

City

State

ZIP Code

* Phone

* Email

State your age if under 18 or over 70

* Are you legally eligible for employment in the U.S.A?

Yes

* Have you ever applied for employment with us before?

Yes

If yes, when?

* What position(s) are you applying for?

Pay Expected

* What would you be available for?

Full-Time

Part-Time

A.M. Shift

P.M. Shift

Late Night

* When are you available to begin?

How did you learn of this position?

Staff

Paper

Indeed

Maple Leaf Services Website

Other

If referred by staff, which employee referred you?

Are there any other experiences, skills, or qualifications that you feel would especially fit for your work with our organization?

* Do you have a current and valid drivers license?

Yes

EDUCATION

High School

Name and Location of School

Number of years completed

* Did you graduate?

Yes

College

Name and location of college

Course of Study

Number of years completed

Did you graduate

Yes

Degree or Diploma?

Other

Name and Location of School

Course of Study

Number of years completed

Did you graduate

Yes

Degree or Diploma

Other

Name and Location of School

Course of Study

Number of years completed

Did you graduate

Yes

Degree or Diploma

EMPLOYMENT

We are an equal opportunity employer

Company 1

Company Name

Company Address

Street Address

Address Line 2

City

State

ZIP Code

Telephone

Dates Employed

Starting Pay (indicate per week, bi-weekly, or annual)

Ending Pay (indicate per week, bi-weekly, or annual)

Supervisor

Job Title

Work Description

Reason for leaving

Company 2

Company

Company Address

Street Address

Address Line 2

City

State

ZIP Code

Telephone

Dates Employed

Starting Pay (indicate per week, bi-weekly, or annual)

Ending Pay (indicate per week, bi-weekly, or annual)

Supervisor

Job Title

Work Description

Reason for leaving

Company 3

Company

Company Address

Street Address

Address Line 2

City

State

ZIP Code

Telephone

Dates Employed

Starting Pay (indicate per week, bi-weekly, or annual)

Ending Pay (indicate per week, bi-weekly, or annual)

Supervisor

Job Title

Work Description

Reason for leaving

May we contact the employers listed above?

Yes

If no, indicate which ones you don't want contacted and reasons for it

PERSONAL REFERENCES

Not former employers or relatives

Reference 1

* Name and occupation

* Address

* Phone

Reference 2

* Name and occupation

* Address

* Phone

Reference 3

* Name and occupation

* Address

* Phone

MILITARY SERVICE RECORD

Complete this if you served in the armed forces.

Branch of Service

Dates of active duty

Rank at Discharge

Final date of discharge

Describe your duties and any special training

OTHER INFORMATION

The information requested is needed for a legally permissible reason, including, without limitation, national security consideration, a legitimate occupational qualification or business necessity. The civil rights act of 1964 prohibits discrimination in employment on the basis of age with respect to certain individuals. The laws of most states also prohibit some or all of the above types of discrimination based upon ancestry, marital status or physical or mental handicap or disability.

Marital Status

Single

Married

If married, what is your maiden name?

* Are you a U.S. citizen?

Yes

How long have you been at your present address? (years)

What was your previous address?

How long were you at your previous address? (years)

* Have you been convicted of a crime in the past 10 years?

Yes

If yes, describe in full.

RESUME

If you would like to include your resume, you can upload it here.

Max file size is 67 MB.

APPLICANT STATEMENT

It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employers service if I have been employed. I understand, also, that I am required to abide by all rules and regulation of Maple Leaf Services, Inc.

I give Maple Leaf Services, Inc. the right to investigate my references and any additional information about me, if it is job related. I hereby release from liability Maple Leaf Services, Inc. and its representatives for seeking such information and all other person, corporations or organizations for furnishing such information.

Maple Leaf Services, Inc. is an Equal Opportunity Employer.

This application is current for one year. At the end of that time, it would be necessary to fill out a new application if I was still interested in employment.

* Signature of applicant (please type your name)

* Date

* Confirm this is a true application submission

Mission