Job Application

Are you an enrolled member of a Native American Tribe? If yes, please list which tribe: *

Yes No

Tribe: *

Enrollment Number: *

If hired, can you provide evidence of legal eligibility to work in the U.S.? *

Yes No

Any offer of employment is conditioned upon completing form I-9 and providing the appropriate documents for identity and work authorization.

Are you 18 years of age or older? *

Yes No

If under 18 years of age, you will be required to submit a birth certificate or work certificate as required by state or federal law.

Did you graduate / earn your GED? *

Yes, I graduated Yes, I completed my GED No, I did not graduate or complete my GED

Date of high school completion / GED completion *

Are you presently enrolled in school? If yes, give name and address of school and expected degree date. *

Yes No

Name and address of school and expected degree date *

Please list the times you are available for work on each of the following days.

Please provide three references who we may contact. You can fill out each field below, or upload a document with your references.

Reference 1. Please list their name, occupation, how you know them and for how long, and their phone number. *

Reference 2. Please list their name, occupation, how you know them and for how long, and their phone number. *

Reference 3. Please list their name, occupation, how you know them and for how long, and their phone number. *

Your Employment History

List names of employers with most recent employer listed first.

Carefully read each statement before signing at the bottom.

I certify that all of the information provided in this employment application is true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background, credit history check, and drug test, as applicable. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date.

I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

By entering your name below, you are indicating that you have read, understand, and agree to the above statements.