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Employment Application

Application Information: Please Note: Applications will note be processed if not filled out completely.

Full Name:

Street Address:

Apartment/Unit #

City:

State

Zip Code:

Date of Birth:

Example: mm/dd/yyyy

Phone Number:

Message Phone:

Date Available

Social Security No.:

Email Address:

Are you an enrolled member of a Native American Tribe?

Tribe:

Enrollment #:

Positions of Interest:

Position #1:
Position #2:
Position #3:

Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever worked for the Golden Eagle Casino?
If Yes, when?
Have you ever been convicted of a felony?
If Yes, when?

Education:

High School/GED:

Address:

From:

To:

Did you graduate?

Degree:

College:

Address:

From:

To:

Did you graduate?

Degree:

Other:

Address:

From:

To:

Did you graduate?

Degree:

References:

Please list three professional references.

Full Name:

Relationship:

Company

Phone Number:

Address:

Full Name:

Relationship:

Company

Phone Number:

Address:

Full Name:

Relationship:

Company

Phone Number:

Address:

Previous Employment:

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Military Service:

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than Honorable, explain:

Disclaimer and Signature:

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Incomplete application will not be processed until the applicant provides necessary information.