CHEHALIS TRIBAL GOVERNMENT – APPLICATION FOR EMPLOYMENT Please enable JavaScript in your browser to complete this form. – Step 1 of 7 Please note: This form should be filled for Chehalis Tribal Government Positions only. Name: * First Middle Last Present Address: * Address Line 1 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState Zip Code Email Address: * Cellular Phone: * Residence Telephone: Next Page Position(s) Applied For: 1. * 2. QUALIFICATIONS: Must meet minimum job requirements for consideration. Please list any education, training, or specialized experience you feel relates to the position applied for that would help you perform the work such as schools, colleges, degrees, licenses, vocational or technical programs, military training, hobbies, etc. *Degrees, Licenses, Specialty Achievements, Experience or Training High School (School Name): * High School (School City/State): High School Degree earned: * Diploma G.E.D. High School Degree (Year Received): * Associate Degree (School Name): Associate Degree (School City/State): Associate Degree earned: Yes No Associate Degree (Year Received): Bachelors Degree (School Name): Bachelors Degree (School City/State): Bachelors Degree earned: Yes No Bachelors Degree (Year Received): Other 1 (School Name): Other 1 (School City/State): Other 1 Degree earned: Yes No Other 1 Degree (Year Received): Other 2 (School Name): Other 2 (School City/State): Other 2 Degree earned: Yes No Other 2 Degree (Year Received): File Upload Click or drag files to this area to upload. You can upload up to 5 files. * Please attach verification of degrees, certificates of completion, training received, college courses taken, and/or seminars attended. Previous PageNext Page Have you worked for the Chehalis Tribe before? Yes No Department/Entity: Dates: Are you 18 years of age or older? Yes No Do you have a valid driver’s license? Yes No State: Are you claiming Tribal Preference? Yes No If yes, please provide the federally-recognized tribe you are enrolled with: Are you legally eligible for employment in the United States? Yes No Successful applicants will be required to provide proof of identity and eligibility for employment. **Required by the Immigration Reform and Control Act Are there any days of the week you are not available to work? No Yes If Yes, please list: What shifts are you willing to work? Day Swing Night If hired, on what date are you available to begin employment? **Omissions or intentional misrepresentation may lead to the termination of any hiring process or tribal employment at any future date without notice. Previous PageNext Page EMPLOYMENT EXPERIENCE: Beginning with your most recent position, please complete and account for a minimum of ten years of employment including U.S. military service (branch, dates, etc). Do not enter “see resume” as incomplete applications may disqualify you from further consideration. Present or Last Employer (Company Name) * Type of Business Telephone Address Hire Date Date Left Job Title Reason for Leaving Job Duties and Responsibilities Previous Employer 1 Type of Business 1 Telephone 1 Address 1 Hire Date 1 Date Left 1 Job Title 1 Reason for Leaving 1 Job Duties and Responsibilities 1 Previous Employer 2 Type of Business 2 Telephone 2 Address 2 Hire Date 2 Date Left 2 Job Title 2 Reason for Leaving 2 Job Duties and Responsibilities 2 Previous Employer 3 Type of Business 3 Telephone 3 Address 3 Hire Date 3 Date Left 3 Job Title 3 Reason for Leaving 3 Job Duties and Responsibilities 3 Previous Employer 4 Type of Business 4 Telephone 4 Address 4 Hire Date 4 Date Left 4 Job Title 4 Reason for Leaving 4 Job Duties and Responsibilities 4 Previous Employer 5 Type of Business 5 Telephone 5 Address 5 Hire Date 5 Date Left 5 Job Title 5 Reason for Leaving 5 Job Duties and Responsibilities 5 Previous Employer 6 Type of Business 6 Telephone 6 Address 6 Hire Date 6 Date Left 6 Job Title 6 Reason for Leaving 6 Job Duties and Responsibilities 6 Previous PageNext Page REFERENCES: Please list three (3) professional references* who can attest to your professional skills and experience. Reference letters do not substitute for completing this section, however, may be included with application. *Names should be of three persons, not related to you, whom have known you at least three (3) years. (1) Name * Address, Phone, Email * Company Years Known (2) Name * Address, Phone, Email * Company Years Known (3) Name * Address, Phone, Email * Company Years Known File Upload (Reference Letters if needed) Click or drag files to this area to upload. You can upload up to 3 files. **Reference letters do not substitute for completing this section, however, may be included with application. Previous PageNext Page EQUAL EMPLOYMENT OPPORTUNITY AND TRIBAL PREFERENCE: It is the Chehalis Tribe’s policy to seek and employ the best qualified personnel and to provide equal opportunity for the hiring and advancement of employees, and to administer these activities in a manner which will not discriminate against any person because of race, color, religion, sex, or national origin. The Chehalis Tribe practices Tribal Preference in accordance with Chehalis Tribal Code and Personnel Policies. To monitor the effectiveness of the Chehalis Tribe’s recruitment efforts to provide Equal Employment Opportunity and Tribal Preference to its applicants, the Tribe requests your voluntary cooperation by indicating: Race or Ethnic Origin (mark all that apply): Asian Black or African American Hispanic or Latino Native American/Alaskan Native Hawaiian or other Pacific Islander White/Non-Hispanic Prefer Not to Answer Other: If Other: Gender: Female Male Veteran: Yes No Dates of Service: Branch of Military: Type of Discharge: TRIBAL PREFERENCE: VERIFICATION OF TRIBAL PREFERENCE VERIFICATION OF TRIBAL PREFERENCE Enrolled Chehalis Tribal Member Spouse of an Enrolled Chehalis Tribal Member Enrolled Member of another Tribe (Attach copy of Tribal ID or CDIB) Enrollment Number Spouse’s Enrollment Number Name of Tribe File Upload (Attach copy of Tribal ID or CDIB) Click or drag files to this area to upload. You can upload up to 2 files. ADDITIONAL INFORMATION: How did you first hear of this opening? Chehalis Tribe – Posting Chehalis Tribe – Website From a Tribal Member From a Tribal Employee Name: Website: WorkSourceWA Indeed LinkedIn ZipRecruiter CareerBuilder Craigslist School/College Website Other Please list: Previous PageNext Page CHEHALIS TRIBE APPLICATION FOR EMPLOYMENT & AUTHORIZATION FOR RELEASE OF INFORMATION 1. I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information. 2. I certify that the facts and information in the application and in the attachments or supporting documents are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation or omission, as well as any misleading statements or omissions, will be cause for denial of employment or immediate termination, regardless of when or how discovered. 3. I understand that I may be required to submit to pre- and/or post-employment drug and alcohol screening. I agree to such testing at the Chehalis Tribe’s expense. I authorize the release of test results to the Tribe and its use to evaluate my suitability for employment. I also release the Tribe from any and all liability associated with the testing. Printed Name: * Date: * Previous Page Submit Completed Form
