Position Applying For:
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Name
*
First Name
Last Name
Mailing Address
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Street Address
Street Address Line 2
City
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State
Zip Code
Contact Phone Number
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Format: (000) 000-0000.
Email Address
Preferred Method of Contact
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Phone
Text
Email
Are you known by any other name?
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No
Yes
If yes, by what name.
Have you ever been employed at Little Wound School?
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Yes
No
If yes, what position and year(s).
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EDUCATION:
To be considered, transcripts, diploma, or other certificates of training must be submitted.
High School
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Name and Address
Graduation Year
Type
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HS Diploma
GED
Did not graduate
Other
Name and address of Post Secondary Education Institutions attended.
Highest degree earned & year OR or number of credits earned. (Transcripts must be submitted with this application. (If no degree or credits were earned, enter "0".
If you re you currently taking courses in, what field are you pursuing?
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EMPLOYMENT EXPERIENCE
To properly screen your application, complete all sections. List each job held starting with your present or most current job.
Have you ever been employed?
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Yes, continue to next question
No, go to next page
(1) Employer Name, Address, and Phone Number.
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Job Title
Start and End Date
Job Duties
Supervisor Name and Phone No. - Required
Beginning & Ending Salary
Reason for Leaving
(2) Employer Name, Address, and Phone Number.
Job Title
Start and End Date
Job Duties
Supervisor Name and Phone No. - Required
Beginning & Ending Salary
Reason for Leaving
(3) Employer Name, Address, and Phone Number.
Job Title
Start and End Date
Job Duties
Supervisor Name and Phone No. - Required
Beginning & Ending Salary
Reason for Leaving
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Do you have a valid driver's license?
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Yes
No
Do you have a valid South Dakota Commercial Driver's License (CDL)? If you are applying for a bus driving position, submit your CDL with this application.
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Yes
No
What other skills or experiences do you have that may have a beneficial impact on your application.
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BACKGROUND INFORMATION
It is important that you provide complete and truthful answers to the following questions.
Have you ever been convicted of a felony?
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Yes
No
If yes, name of felony conviction and date.
Have you ever been convicted of any crime against a child?
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Yes
No
If yes, name of conviction and date.
Have you ever been convicted of a drug or alcohol related charge?
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Yes
No
If yes, name of conviction and date.
Do you claim Indian Preference?
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Yes
No
Do you claim Veteran's Preference?
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Yes
No
Rate your ability to understand the Lakota Language.
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Well
Poor
Fair
Not at all
Rate your ability to read the Lakota Language.
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Well
Poor
Fair
Not at all
Rate your ability to write the Lakota Language.
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Well
Poor
Fair
Not at all
Rate your ability to speak the Lakota Language.
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Well
Poor
Fair
Not at all
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PERSONAL REFERENCES
List (3) personal references, not related to you, who have known you for at least three years. Address and phone number are required.
Name, address, phone number
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Name, address, phone number
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Name, address, phone number
*
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AGREEMENT
I certify that answers given herein are true and complete to the best of my knowledge. I authorize the Little Wound School to make such investigations and inquiries of my personal, employment, financial history or other related matters as may be necessary in arriving at an employment decision. I understand that if employed I will be subject to a pre-employment drug test and a background test. I release employers, schools, or persons from all liability in responding to inquiries in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview may result of discharge.
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I certify
I do not certify
SIGNATURE
By selecting "I agree", I am signing this application electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this application.
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I agree
I disagree
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