APPLICATION FOR EMPLOYMENT
An Equal Opportunity Employer
PERSONAL INFORMATION
Incomplete information could disqualify you from further consideration.
Name:
Date:
-
Month
-
Day
Year
Date
Address:
City, State and Zip
Email Address
example@example.com
Contact Number
Format: (000) 000-0000.
Current Drivers Lic.#
State Issue:
Exp Date:
-
Month
-
Day
Year
Date
Are you a member of the Tunica Biloxi Tribe of Louisiana?
Yes
No
If applicable, list enrollment number
Are you the spouse of a Tunica Biloxi Tribal member?
Yes
No
Are you a member of another federally recognized Indian tribe or non-federally recognized Indian tribe?
Yes, a Federally Recognized Indian Tribe.
Yes, a Non-federally Recognized Indian Tribe.
No, I'm not.
If yes, give name of tribal affiliation and roll number (provide proof of enrollment)
Are you eligible to work in the U.S?
Yes
No
Have you been convicted of a misdemeanor within the last 7 years?
Yes
No
If yes, please explain:
Have you been convicted of a felony?
Yes
No
If yes, please explain:
Have you been issued any moving/traffic violations within the last 5 years?
Yes
No
If yes, please explain:
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Are you at least 18 years or older? (If no, you may be required to provide authorization to work.)
Yes
No
Have you ever been terminated from employment or asked to resign by an employer?
Yes
No
If yes, please provide company names and details:
Can you work overtime, including weekends?
Yes
No
EMPLOYMENT DESIRED
Date you can start:
Position desired:
Hourly Rate/Salary desired:
Are you currently employed?
Yes
No
If so may we inquire of your present employer?
Yes
No
Have you ever worked for the Tunica Biloxi Tribe before?
Yes
No
When?
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?
Yes
No
REFERRAL SOURCE
How did you hear about us?
Do you know anyone who works for the Tunica Biloxi Tribe?
Yes
No
If yes, who?
EDUCATION
EDUCATION
Rows
Name and location of school
No. of yrs. Attended
Degree Received
Subjects studied/Major
High School
College or University
Trade, Business or Correspondence School
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EMPLOYMENT
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
Format: (000) 000-0000.
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
Format: (000) 000-0000.
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
Format: (000) 000-0000.
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 and/or training that would enhance your ability to perform the position applied for? If yes, please explain:
Computer Skills (please describe):
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REFERENCES Give the names of three persons not related to you, whom you have known at least three (3) years.
REFERENCES Give the names of three persons not related to you, whom you have known at least three (3) years.
Rows
Address, Phone, Email
Company
Years Acquainted
1
2
3
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:
-
Month
-
Day
Year
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.
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