CIT employment application – Coquille Indian Tribe

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Coquille Indian Tribe Employment Application

The tribe grants equal employment opportunity to all qualified persons without regard to race, color, religion, sex, sexual orientation, age, disability or national origin. We do provide preference in accordance with 188 Tribal and Indian Preference in Employment.

Your information

Name *

First

Last

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Today's date

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Mailing address ( if different from physical address)

Position Applying For *

Position Location Applying For *

Please refer to job listing location

Date available:

Salary desired:

Phone *

If hired, can you provide proof that you are authorized to work in the United States?

Driver's license number, state and expiration

The Coquille Indian Tribe is Proud to be a Drug-Free Workplace. A Post Job Offer Pre-Employment Drug Screen and Criminal/Character Background Check are Required.

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Cover Letter, Resume, References and supporting documents

Click or drag files to this area to upload. You can upload up to 10 files.

The Coquille Indian Tribe Child Protection Ordinance requires applicants to complete this section of the application. Your answers to these questions will be kept confidential as required by Coquille Tribal Law. While background checks are required prior arrests or convictions don’t necessarily preclude applicants from employment.

The Coquille Indian Tribe Child Protection Ordinance requires applicants to complete this section of the application. Your answers to these questions will be kept confidential as required by Coquille Tribal Law. Prior arrests or convictions don’t necessarily exclude applicants from employment.

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Have you ever been convicted of a felony?

If yes, list felony, location & date:

Have you ever been arrested or convicted of a crime involving a child, violence, sexual assault, sexual molestation, sexual exploitation, sexual contact or prostitution, or any crime against persons?

If yes, please describe the situation, including the disposition of the charge, date, location, and conviction(s). Attach additional pages if necessary.

Education history

Please fully complete this entire application. Do not write “See Resume” or leave sections blank. You are welcome to submit a resume along with any other documentation that you wish to be considered.

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High school

Did you graduate?

Would you like to add more education?

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School (College, trade school etc)

Did you graduate?

Course of study

Degree or field of study

Would you like to add additional education?

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School (College, trade school etc)

Course of study

Did you graduate?

Degree or field of study

Certifications and skills

Licenses, certifications, or additional education

Special skills or training that relate to the required qualifications of the position you are applying for

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Employment history

Please fill out at least 5 years of previous work history “Do not write “see resume”.

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Current or most recent employer

Address (Street, City, State, Zip)

Starting Pay:

Describe your duties and responsibilities:

Job Title:

Starting Date:

Final (Current) Pay:

Name and title of Immediate Supervisor:

Phone #:

Leaving date

Reason for leaving or desiring to leave:

May we contact them?

Add more previous employers

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Second to most recent employer

Address (Street, City, State, Zip)

Starting Pay:

Describe your duties and responsibilities:

Job title

Starting Date:

Final pay

Name and title of Immediate Supervisor:

Phone #:

Leaving date

Reason for leaving or desiring to leave:

May we contact them?

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Third to most recent employer

Address (Street, City, State, Zip)

Starting Pay:

Describe your duties and responsibilities:

Job title

Starting Date:

Final pay

Name and title of Immediate Supervisor:

Phone #:

Leaving date

Reason for leaving or desiring to leave:

May we contact them?

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Fourth to most recent employer

Address (Street, City, State, Zip)

Starting Pay:

Describe your duties and responsibilities:

Job title

Starting Date:

Final pay

Name and title of Immediate Supervisor: (copy) (copy)

Phone #:

Leaving date

Reason for leaving or desiring to leave:

May we contact them?

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Fifth to most recent employer

Address (Street, City, State, Zip)

Starting Pay:

Describe your duties and responsibilities:

Job title (copy)

Starting Date:

Final pay

Name and title of Immediate Supervisor:

Phone #:

Leaving date

Reason for leaving or desiring to leave:

May we contact them?

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Tribal affiliation

For preference to be applied, all applicants are required to submit evidence of eligibility.

Tribal and Indian preference (select one)

Coquille Tribal Member
Coquille Tribal Spouse or Domestic Partner
Immediate Family Member of a Coquille Tribal Member (in the same household)
Coquille Tribal Family Relation
Member of a Federally Recognized Tribe
United States Veteran
Other Qualified Applicants

Name and Enrollment #

If applicable

References

Please give the names, email addresses and telephone numbers of three work related references (references will be checked).

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Name

First

Last

Phone

Second reference

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Name

First

Last

Phone

Third reference

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Name

First

Last

Phone

PLEASE READ CAREFULLY BEFORE YOU SIGN ON THE LINE PROVIDED

I hereby give my consent to thoroughly investigate my personal history, references, work records, education and other matters related to my suitability for employment and, further, authorize my current and former employers to disclose to the company any and all letters, reports and other information pertaining to my employment with them without giving me prior notice of such disclosure. In addition, I hereby release the Coquille Indian Tribe, my current and former employers, and all other persons, corporations, partnerships and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigations or disclosures. Further, I certify that, to the best of my knowledge, all of my statements are true, correct, complete and made in good faith. I understand any false statement on the application may result in my not being hired, or in my dismissal. I understand this application is not a contract of employment. Please type your full name if you agree:

Signature

How did you hear about this job?

Online job advertisement
Tribal meeting
Tibal newsletter
Tribe's website
Individual referral (friend,employee,relative)
Other

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