Application For Employment

Important Message for Applicants

As part of the employment process - every offer is contingent upon successful completion of the pre-employment process; which may include, but is not limited to a background check, credit check, and drug screen.

  1. Please make sure you have completely filled out the application. Any application with missing information may not be accepted for consideration of employment.
  2. Applications are held on file for 90 days. After 90 days, you will be required to submit a new application.
  3. Attached is a release form you are required to sign in order for your application to be fully processed. This release enables us to contact your former employers regarding your previous work history.

As an Equal Opportunity Employer, this organization does not discriminate on the basis of race, color, religion, sex, national origin, age, disability or veteran status. All information provided in this application will be treated confidentially and will be used only to help ensure the best use of your abilities if you are employed by us.

Please fill out the following form to the best of your ability.

* First Name
* Middle Name
* Last Name
* Address 1
* Address 2
* City
* State
* Zip
* Phone 1
* Phone 2
* Email Address
Are you 18 Years Of Age or Older? Yes No
If under 18, can you furnish a work permit? Yes No
* What type of work are you interested in? Full-time  Part-time  Temporary  Seasonal  Co-Op
* What is your desired salary range or hourly rate of pay? $ Per

Educational Background

Education Name & City Years Completed Graduate? Course of Study
* High School   Yes No   
College   Yes No   
Trade, Business, or Other   Yes No   

Employment History (5 Years)

Provide the following information for your past employers, assignments or volunteer activities, starting with the most recent.

* From * To * Employer * Telephone
* Job Title * Address
* Immediate Supervisor * Summarize the nature of your
work / responsibilities
* Reason for Leaving Hourly Rate/Salary * Start $ Per     
* Final $ Per
* From * To * Employer * Telephone
* Job Title * Address
* Immediate Supervisor * Summarize the nature of your
work / responsibilities
* Reason for Leaving Hourly Rate/Salary * Start $ Per     
* Final $ Per
* From * To * Employer * Telephone
* Job Title * Address
* Immediate Supervisor * Summarize the nature of your
work / responsibilities
* Reason for Leaving Hourly Rate/Salary * Start $ Per     
* Final $ Per

Military Service

* Branch of Service:
* Dates To/From:
* Rank and Type of Service:
* Training/Experience Received:

References

Please list three business references/work references who are not related to you or who are not friends.

  Name Address Phone Number Business Years Known
* Reference 1
* Reference 2
* Reference 3

Employment Questions

* What position(s) are you interested in?
* Date available for work?
How were you referred to our organization?
Have you ever been employed here before? Yes No
Are you legally eligible for employment in this country? Yes No
Are you able to meet the attendance requirements for this position? Yes No
Do you have a high school diploma/GED or working towards a high school diploma/GED? Specify which one. Have Diploma And/Or GED Working Towards Degree
Do you have any relatives who are employed by this organization? Yes No
Is there any information we would need about your name, or use of another name, for us to be able to check your work record? Yes No
Please list any additional information that relates to your ability to perform the job for which you have applied (licenses, professional memberships, hobbies, etc.)
Are you Native American? Yes No
If Yes, what Tribe are you enrolled with?
Have you ever been convicted of or plead no contest to any crime in federal, state or tribal court? Yes No
If, yes, please provide when, where and the nature of the crime.
Have you ever been convicted of or plead no contest to any gambling-related offense, fraud or misrepresentation? Yes No
Are you currently serving a deferred sentence for any crime? Yes No
* If yes, where and for what?

Have you ever been convicted of a felony in federal, state or tribal court? Yes No
* If yes, please provide when, where and the nature of the crime.

Conviction will not necessarily be a bar to employment each instance/explanation will be viewed in relation to the position you are applying.


*  BY SUBMITTING THIS FORM, I ACKNOWLEDGE THAT I HAVE READ, UNDERSTAND AND AGREE TO THE ABOVE STATEMENTS.

*  APPLICANT AGREES, THAT IF HIRED, THAT COSTS OR FEES ASSOCIATED WITH TRAINING, GAMING LICENSE AND/OR UNIFORMS MAY BE ASSESSED TO NEW EMPLOYEES.

*  BY SUBMITTING THIS FORM, I ACKNOWLEDGE THAT I WILL BE SUBJECT TO AN INITIAL PREEMPLOYMENT DRUG SCREEN AND RANDOM DRUG TESTING IF HIRED.

* Type your name here if you wish to accept the agreement electronically rather than manually.
* Type your name here if you accept the terms of the agreement. Your typed name will be binding as your signature.
* Please enter your email address.
* Please enter todays date.