Job Application

Please apply by filling out the details below. Maplewood Manor is committed to providing an equal employment opportunity for all persons regardless of race, color, national origin, religion, sex, disability, age, citizenship status, genetic information, sexual orientation, AIDS/HIV, gender identity, wage discrimination, or any other status protected by law (“Protected Classes”). *Required

Please List Three (3) Personal References

Other than employers listed above. Please list reference names, addresses, phone numbers and company (if applicable).

I certify that the answers given by me to the foregoing questions and the statements made by me are completed and true to the best of my knowledge and belief. I understand that any false information, omissions, or misrepresentation of facts called for in this application may result in the rejection of my application or discharge at any time during my employment. I authorize the employers, schools, or persons named above to provide information regarding my employment, education, character, and qualifications. I also authorize any company and/or its agents including consumer reporting bureaus or investigative agencies to verify any information, including but not limited to, criminal history and motor vehicle driving records. I authorize all persons, schools, companies, and law enforcement authorities to release any information concerning my background and herby release any said persons, schools, companies, and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.

Please Note:

In order to complete the application process you may be asked to provide your Social Security number at a later date. If so, you will be contacted by a Maplewood Manor team member directly to obtain this information.