For more information about Upland Point Corporation, or if you are interesting in placing yourself or a family member in one of our homes and would like to schedule a home tour, please fill out the Contact Us form on the right.

Business Phone:

​(608)987-0470

Direct Cell Phone:

(608)341-8569

Fax:

(608)987-3700

Mail:

Info
Upland Point Corporation
PO Box 110
Mineral Point, WI 53565

​For any other information regarding training, please contact:

Tracy Lease
tlease@uplandpoint.com


Thank you for your consideration in a career at Upland Point Corporation.  If you have any other questions, please feel free to contact us. To apply for a position fill out the application below and we will follow up with you within 24 hours.  If you would like a paper copy of the application you can download it here.
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Copyright 2012: Upland Point Corporation | Assisted Living Wisconsin | All rights reserved. PO Box 110 Mineral Point, WI 53565 
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Contact Us for Assisted Living in WI

Call Us: 608-987-0470
Email: hr@uplandpoint.com
Employment Application
First name *
Last name *
Street Address *
City *
State/Province *
Zip *
Home Telephone *
Mobile Telephone
Email
Are there other names under which you have worked or attended school?
Yes
No
If yes, please list for reference purposes.
Are you legally authorized to work in the U.S.?
Yes
No
Are you at least 18 years old? *
Yes
No
Can you perform the essential functions of the position for which you are applying?
Yes
No
If no, please explain.
Have you ever been convicted of a crime or pleaded no contest for any offense or violation other than minor traffic violations?
Yes
No
If yes, explain 1) nature of crime, 2) date of conviction, and 3) state in which convicted. (Convictions are not an automatic bar to employment.)
Do you have any pending charges against you?
Yes
No
If yes, describe the 1) nature of the charges, 2) date issued, and 3) county and state where issued.
Have you ever applied at Upland Point Corporation before?
Yes
No
If yes, when?
Have you ever worked at Upland Point Corporation before?
Yes
No
If yes, when?
Position
Position Applying For

Part-Time
Full-Time
Salary Preference
Shift Preference
When Can You Start?
How were you referred to the company?
Agency
Company Website
Friend/Relative
Social Media
School
Other
Special Skills
If relevant, please describe computer proficiency, software knowledge, and office equipment experience.
If relevant, please describe experience using manufacturing machines and equipment.
Other Special Skills.
Education
High School
Years Attended
Diploma or Degree Received
Yes
No
College
Years Attended
Diploma or Degree Received
Yes
No
Graduate School
Years Attended
Diploma or Degree Received
Yes
No
Other
Years Attended
Diploma or Degree Received
Yes
No
Training Courses
List any relevant training programs completed.
Required License(s)
Driver's License Number:
State Issued
Are you licensed with any group, association or society relating to the job for which you are applying?
Yes
No
Registration or License Number
State Issued
Expiration Date
Employment History (start with most recent)
Employer 1
Name of Employer
Telephone
Address
Job Title
Name of Immediate Supervisor
Start Date
End Date
Job Duties
Salary Start
Salary End
Reason for Leaving
If currently employed, may we contact as a reference?
Yes
No
Employer 2
Name of Employer
Telephone
Address
Job Title
Name of Immediate Supervisor
Start Date
End Date
Job Duties
Salary Start
Salary End
Reason for Leaving
If currently employed, may we contact as a reference?
Yes
No
Employer 3
Name of Employer
Telephone
Address
Job Title
Name of Immediate Supervisor
Start Date
End Date
Job Duties
Salary Start
Salary End
Reason for Leaving
If currently employed, may we contact your reference?
Yes
No
Employment Reference

List individuals familiar with your job qualifications (no relatives or personal friends).

Reference 1
Name
Telephone
Email Address
Address
Relationship
How long known?
Reference 2
Name
Telephone
Email Address
Address
Relationship
How long known?
Reference 3
Name
Telephone
Email Address
Address
Relationship
How long known?
Current Positions Available:

Caregiver