| First
Name: |
* |
| Middle
Name: |
Optional |
| Last
Name: |
* |
| Area
Code: |
Phone:
* |
| Area
Code: |
Fax:
Optional |
| Address: |
* |
| City: |
* |
| State: |
* |
| Zip
Code: |
* |
| E-Mail: |
* |
Are
you related
to anyone working at
Table Mountain Casino? |
Yes
No |
Referred
by:
If you were not referred by anyone, enter NONE |
* |
Relationship:
If you were not referred by anyone, enter NONE |
* |
| Have you ever been employed with Table Mountain Casino, Table Mountain Rancheria Government offices or Table Mountain Tribal Gaming Commission? |
Yes
No * |
If
YES, what Year AND
what was your position? |
* |
| Failure to complete this section to the best of your knowledge may warrant a removal of your application from the hiring-review process. |
Are you a member of a Federally Recognized
American Indian Tribe? |
Yes
No |
If
YES, what is the
name
and state of the Tribe ? |
|
Tribe
ID Number:
(must be provided) |
|
| Position(s)
applied for: |
|
| Wage/Salary
desired: |
|
| Date
Available: |
|
| Shift
Preferred - not guaranteed: |
Day
Swing
Grave
Any |
| Do
you have any
physical condition
which may limit your
ability to perform the
job for which you are
applying? |
Yes
No |
| If
YES, describe: |
|
| If you are
applying for a supervisory or managerial postition, are you at least 21 years of age? |
Yes
No |
| If you are
applying for a supervisory or managerial postition, do you posess a Bachelor's degree? |
Yes
No |
| If selected for a postition, are
you legally
elgible to work
in the United States? |
Yes
No |
| In order to issue a Gaming License, Table Mountain Tribal Gaming Commission conducts a thorough background check on all applicants. Failure to disclose accurate information will result in an immediate denial of employment and future consideration. |
| Have
you ever been
convicted of, pleaded guilty to, or entered a plea of "no contest" to a felony? |
Yes
No |
If
Yes, please explain: Required *
If no enter NONE |
|
Education Data * |
| High
School (Name/Location): |
|
Enter Last Year Completed:
Example 1, 2, 3 or 4 |
|
| Diploma? |
Yes
No |
| GED? |
Yes
No |
| College,
(Name/Location): |
|
Enter Last Year Completed:
Example 1, 2, 3 or 4 |
|
| Diploma? |
Yes
No |
| Certification: |
|
Vocational/Business
School
(Name/Location): |
|
Enter Last Year Completed:
Example 1, 2, 3 or 4 |
|
| Diploma? |
Yes
No |
| Certification: |
|
Former Employers *
List employers starting with your present or last employer |
| 1.
Company Name: |
|
| Phone: |
|
| Supervisor's
Name: |
|
| Address: |
|
| Position: |
|
| Employed
From: |
to:
|
| Describe
duties briefly: |
|
Reason
for Leaving:
REQUIRED |
|
| Hourly Wages: |
|
|
| 2.
Company Name: |
|
| Phone: |
|
| Supervisor's
Name: |
|
| Address: |
|
| Position: |
|
| Employed
From: |
to:
|
| Describe
duties briefly: |
|
Reason
for Leaving:
REQUIRED |
|
| Hourly Wages: |
|
|
| 3.
Company Name: |
|
| Phone: |
|
| Supervisor's
Name: |
|
| Address: |
|
| Position: |
|
| Employed
From: |
to:
|
| Describe
duties briefly: |
|
Reason
for Leaving:
REQUIRED |
|
| Hourly Wages: |
|
|
References
Please list three persons not related to you
who
have known you for at least one year: |
| Name
/ Occupation / Phone / Years Known |
| 1.
|
| 2.
|
| 3.
|
DISCLAIMER |
As part of the hiring process, Table Mountain Casino will be checking references. Table Mountain Casino may contact the references identified above as well as former employers. When we contact a reference, we ask a series of questions. They are about your personal background, education, work experience, character, and other work-related behaviors. I understand that any misrepresentation or omission of facts is cause for immediate dismissal. If accepted for employment. I agree to abide by all policies and procedures. If employed, I understand that Table Mountain Casino
is an "at-will employer" and I may be released of my duties without notice or cause by Table Mountain Casino or myself. I understand that my employment is for no defined period of time and if terminated, Table Mountain Casino is liable only for wages and benefits earned as of the date of termination.
I have read and fully understand the above
paragraph.
|
Enter
Your Name Here
(represents an electronic signature): |
REQUIRED
* |
| Dated: |
* |
|
|
I have read, been given the opportunity to ask questions and
fully understand the content of this document. |
Signature
(represents an electronic signature): |
REQUIRED
|
| Dated: |
* |
|
|