Job Application &#8211; Quapaw Casino

1

Do you meet all requirements to apply for this position?* This field is required.

YESNO

2

Please upload your resume (Optional)Optional

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3

Name* This field is required.

First Name

Last Name

4

Do you go by any other name?* This field is required.

YESNO

5

Please List other names

6

What is your date of birth?* This field is required.

Date

7

Phone Number* This field is required.

8

Alternate Phone Number

9

Email* This field is required.

example@example.com

10

Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

11

Position Applied For* This field is required.

12

Are You a Native American with a C.D.I.B. card?* This field is required.

YESNO

13

Tribal AffiliationIf none put N/A

14

Is your spouse or dependent a Quapaw Tribal Member with a C.D.I.B. card?* This field is required.

YESNO

15

Are you a Veteran of the Armed Services of the United States or an active-duty member of the Military Service?* This field is required.

YESNO

16

Are you available on weekends?* This field is required.

YESNO

17

What hours are you available?* This field is required.

18

Have you ever been employed by Quapaw Casino or Downstream Casino before?* This field is required.

YESNO

19

Were you referred by an employee who currently works at Quapaw Casino?* This field is required.

YESNO

20

Who referred you?

21

Have you ever been convicted, pled "guilty" or "no contest", or currently have pending criminal felony or misdemeanor charge(s)? (This includes DUI, drug or alcohol offenses, minor traffic offenses, etc)* This field is required.

YESNO

22

If yes, please list the date, place, and nature of conviction of charges. (A conviction does not constitute automatic bar from employment opportunity, but failure to disclose past or present convictions will result in non-hire status.)

23

Are you currently or have you ever been a registered sex offender?* This field is required.

YESNO

24

Do you have previous experience for the job for which you are applying?* This field is required.

YESNO

25

Are you able to perform all of the essential functions and duties required of the job for which you are applying?* This field is required.

YESNO

26

School Type* This field is required.Please Select Highest Level of Education

27

Please list school information* This field is required.School Name, Street Address, City, State, and Zip

28

Years Completed* This field is required.

29

Degree* This field is required.

30

Major Course Study

31

Name Of Employer* This field is required.

32

Employers Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

33

Job Title* This field is required.

34

Supervisor's Name* This field is required.

First Name

Last Name

35

Reason For leaving* This field is required.

36

What dates were you employed?* This field is required.

Start Date

End Date

37

Tasks Performed* This field is required.

38

Starting Salary* This field is required.

39

Ending Salary* This field is required.

40

Would You Like To List Other Jobs?* This field is required.

YESNO

41

Name Of Employer

42

Job Title

43

Supervisor

44

Reason For Leaving

45

Start Date

46

End Date

47

Tasks Performed

48

Starting Salary

49

Ending Salary