Application-For-Employment-2

TUNICA-BILOXI TRIBE OF LOUISIANA

An Equal Opportunity Employer PERSONAL INFORMATION Incomplete information could disqualify you from further consideration.

Name

Address

Date

Email Address

example@example.com

Current Drivers Lic

State Issue

Contact Number

Exp Date

Date

Are you a member of the Tunica-Biloxi Tribe of Louisiana?

YesNo

If applicable list enrollment number

Are you the spouse of a Tunica Biloxi Tribal member?

YesNo

Are you eligible to work in the U.S?

YesNo

Are you a member of another federally recognized Indian tribe or non-federally recognized Indian tribe?

Federally Recognized Indian TribeNon-Federally Recognized Indian tribe

If yes, give the name of tribal affiliation and roll number (provide proof of enrollement)

Have you been convicted of a misdemeanor within the last 7 years?

YesNo

If yes please explain

Have you been convicted of a felony?

YesNo

If yes please explain

Have you been issued any moving/traffic violations within the last 5 years?

YesNo

If yes please explain

Are you at least 18 years or older? (If no, you may be required to provide authorization to work)

YesNo

Have you ever been terminated from employment or asked to resign by an employer?

YesNo

If yes please provide company names and details

Can you work overtime, including weekends?

YesNo

Date you can start

Date

Position desired

Hourly Rate/Salary desired

Are you currently employed?

YesNo

If SO may we inquire of your present employer?

YesNo

Have you ever worked for the Tunica Biloxi Tribe before?

YesNo

When

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?

YesNo

How did you hear about us

Do you know anyone who works for the Tunica Biloxi Tribe?Type a question

YesNo

If yes who

High School College University Trade, Business or Correspondence School

High School

Number of years attended

Degree Received

Subjects Studied/Major

College or University

Number of years attended

Degree Received

Subjects Studied/Major

Trade, Business or Correspondence School

Number of years attended

Degree Received

Subjects Studied/Major

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.

From

To

Employer Name

Telephone

Job Title

Address

Immediate supervisor and title

Summarize the nature of work performed and job responsibilities

Reason for leaving

Hourly Rate/Salary

From

To

Employer

Telephone

Job Title

Address

Immediate supervisor and title

Summarize the nature of work performed and job responsibilities

Reason for leaving

Hourly Rate/Salary

From

To

Employer

Telephone

Job Title

Address

Immediate supervisor and title

Summarize the nature of work performed and job responsibilities

Reason for leaving

Hourly Rate/Salary

Do you have any special skills experience andor training that would enhance your ability to perform the position applied for If yes please explain

Computer Skills please describe

Name

Address, Phone, Email

Company

Years Acquainted

Name

Address, Phone, Email

Company

Years Aquainted

Name

Address, Phone, Email

Please read carefully before signing.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Tunica Biloxi Tribe to hire me. If I am hired, I understand that either Tunica Biloxi Tribe or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Tunica Biloxi Tribe has the authority to make any assurance to the contrary. I attest with my signature below that I have given to the Tunica Biloxi Tribe are true and complete information on this application. No requested information has been concealed. I authorize the Tunica Biloxi Tribe to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

Signature

Date

This form has been designed to comply with the Tunica Biloxi Tribe's equal employment opportunity policy and is subject to the Indian Preference Act and the Tribal Employment Rights Ordinance (TERO Employment decisions are based on merit, the Tribal Employment Rights Ordinance and Council needs. Native American preference applies pursuant to the prevailing Tunica Biloxi Tribal Employment Rights Ordinance, The Indian Self- Determination and Education Assistance Act (24 U.S.C. 450, et seq 25CFR 271.44, and other relevant laws and program requirements.

The Tunica Biloxi Tribe will not discriminate against any qualified employee or job applicant with respect to any terms, privileges, or conditions of employment because of a person's physical or mental disability. The Tunica Biloxi Tribe of Louisiana will make reasonable accommodation wherever necessary for all employees or applicants with respect to any terms, privileges, or conditions of employment because of a person's physical or mental disability provided that any accommodations made do not impose an undue hardship on the Tunica Biloxi Tribe of Louisiana.

REFERENCES Give the names of three persons not related to you, whom you have known at least three (3) years.