Employment

View our Employment Opportunities

We would be pleased to have you join our staff. The Management of Heritage Place of Mapleton expects to deliver the highest level of care. Therefore, we expect only the finest from you as an employee of Heritage Place of Mapleton.

The most important responsibility of every employee is to treat each resident with the utmost kindness and dignity. We exist to serve our residents. We are employed because of their decision to trust us to care for them.

Step 1 of 2

50%

Application for Employment
Heritage Place of Mapleton is an Equal Opportunity Employer. Applicants are considered for positions without discrimination on the basis of race, religion, sex, national origin, citizenship, age, disability, or any other consideration made unlawful by applicable federal, state or local laws.
General Information
Date*
Date Format: MM slash DD slash YYYY
First Name*
Middle Name*
Last Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Work Phone*
Have you ever applied to our company before?*
- Yes
- No
If you replied YES. Please list the dates.
Position Applying For*
Minimum Compensation Desired*
Date Available for Work*
I am interested in:*
- Full-time
- Part-time
Are you at least 16 years old?*
- Yes
- No
Please indicate the hours you are available to work during both day, evening, and/or night.*
Work Experience
List your previous experience beginning with your most recent position
Employer*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor: Name/Title*
Starting Position*
Starting Compensation*
Most Recent Position*
Most Recent Compensation*
Duties*
Dates of Employment: Please List -- Start: Month, Year and End: Month, Year*
Reasons for Leaving*
Employer*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor: Name/Title*
Starting Position*
Starting Compensation*
Most Recent Position*
Most Recent Compensation*
Duties*
Dates of Employment: Please List -- Start: Month, Year and End: Month, Year*
Reasons for Leaving*
Employer*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor: Name/Title*
Starting Position*
Starting Compensation*
Most Recent Position*
Most Recent Compensation*
Duties*
Dates of Employment: Please List -- Start: Month, Year and End: Month, Year*
Reasons for Leaving*
All employers including your current employer may be contacted to verify the information you provide. May we contact your current employer prior to any offer of employment?
- Yes
- No

Education & Training
College*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of Years Completed*
Degree*
Type of Course/Major*
Type of Course/Major*
High School*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of Years Completed*
Additional Training
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of Years Completed
Degree
Type of Course/Major
Skills:
Professional and/or Character References
(Please list individuals not related to you. Business references preferred.)
Name*
First Last
Occupation*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Years Known*
Name*
First Last
Occupation*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Years Known*
Name*
First Last
Occupation*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Years Known*
Permission to Work
If hired, can you present evidence of your US citizenship or proof of your legal right to work in the US?*
- Yes
- No
Applicant's Statement & Acknowledgement
This application is not complete until signed, and all statements below have been read and initialed.
Initial:*
I certify that all of the information furnished on this application and during the application process is true, complete and correct to the best of my knowledge. I understand that any misrepresentation or omission of facts called for will result in refusal to hire or, if hired may result in my dismissal at any time regardless of when the false answer or omissions are discovered.
Initial:*
I recognize that this employment application is not an offer of employment. I further agree that if I am hired by the Company, I will be at an at-will employee unless my employment is governed by a collective bargaining agreement, in which case terms of the collective bargaining agreement control. "At-will" means that either the Company or I may end my employment at any time with or without cause or notice. I agree that no written materials or verbal statements by the Company will constitute an express or implied contract of continued employment and that, if I am hired, only the Chief Executive Officer of the Company will have the authority to alter the at-will nature of my employment. Any such modification must be in writing identifying my by name and signed by the Chief Executive Officer.
Initial:*
I understand that Mapleton Community Home may share the information contained in this application with other Mapleton Community Home employees for employment and administrative purposes and hereby consent to such transfer.
Initial:*
I hereby authorize Mapleton Community Home to conduct any necessary investigation regarding my background as it relates to the position I am seeking and to the extent permitted by federal, state, and local law. I agree to complete the requisite authorization forms for the background investigation.
My signature below certifies that I agree to be bound by the terms and conditions stated in this application, which contains all the understandings between me and the Company and me concerning the topics addressed herein, and supersedes any prior inconsistent understandings between the Company and me on such issues.
Signature*
Please use the mouse to sign your name.
Date*
Date Format: MM slash DD slash YYYY
For Office Use Only
Department
Efficiency
Re-employ
Discharged