Colusa Casino Application Form PDF Details

The Colusa Casino Employment Application form is a thorough document designed to collect a comprehensive array of information from potential employees. It underscores the organization's commitment to equal opportunity employment, stating explicitly that it does not discriminate unlawfully in its hiring practices. Applicants are asked to furnish personal details, employment history, educational background, military service (if any), language skills, specialized skills, and personal references. It is clear from the application that the casino is intent on adhering to legal requirements for eligibility to work, including the proof of citizenship or immigration status upon employment, and is mindful of the specific needs of applicants, such as the availability for shifts and willingness to travel. Importantly, the form makes provisions for applicants requiring reasonable accommodation during the application or interview process, highlighting inclusivity. The form also delves into the applicant's background with questions regarding previous employment within the organization, convictions of crimes, and the desired rate of pay. The application is not just an information-gathering tool but also a legal document, with sections dedicated to consent regarding the privacy act, background checks, and drug and alcohol testing, reflecting the serious nature of the employment process in a gaming operation. This comprehensive approach ensures that the Colusa Casino is diligent in its hiring process, ensuring both compliance with legal standards and the selection of candidates best suited to their organizational environment.

QuestionAnswer
Form NameColusa Casino Application Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesemployment application colusa casino form

Form Preview Example

EMPLOYMENT

APPLICATION

We are an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state or federal law. Equal access to employment, services and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the organization.

PERSONAL INFORMATION

Position(s) Applied For

Date Of Application

Last Name

First Name

Middle Initial

Telephone Number

Address

City

State

Zip Code

Can you provide required proof of eligibility to work ?

Yes ....

No

Proof of citizenship or immigration status will be required upon employment.

If you are under 18, can you furnish a work permit if it is required?

Yes ....

No

Have you ever been previously employed by our organization?

Yes ....

No

If so, dates of employment___________________________________________ Position __________________________________________

Are you currently employed?

 

Yes ....

No

May we contact your present employer?

 

Yes ....

No

Availability to work:

Full Time ...Part Time

What shifts are you available to work?

Day

Swing

Grave

All

Are you able to meet the attendance requirements?

 

Yes ....

No

Do you have any objection to working overtime if necessary?

 

Yes ....

No

Can you travel if required by this position?

 

Yes ....

No

Are any persons related to you presently employed with us?

 

Yes ....

No

List Names:__________________________________________________________________________________________________________

Have you ever been convicted of a crime?

 

Yes ....

No

If yes, please explain (a conviction will not automatically bar employment): __________________________________________________

Desired rate of pay: __________________________________________________________________________________________________

EDUCATION

School Name & Address

Course of Study

Graduated?

High School

College

Technical

MILITARY INFORMATION

Have you ever served in the Armed Forces? __________

If YES, Branch_________________________

Type of discharge________________________________

Dates of service from _________________ to _____________________

LANGUAGES

List any languages you can speak, read and/or write other than English:

____________________________________ ___________________________________ ____________________________________

SPECIALIZED SKILLS

List equipment operated and any specialized training, apprenticeship, computer programs and/or applicable skills.

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

PERSONAL REFERENCES

YOU MUST HAVE 3 REFERENCES (not related to you and not your current or previous employer)

1. ______________________________________________________________________________________________________________

(Name)(Phone #)

_____________________________________________________________________________________________________________

(Address)

1. ______________________________________________________________________________________________________________

(Name)(Phone #)

_____________________________________________________________________________________________________________

(Address)

1. ______________________________________________________________________________________________________________

(Name)(Phone #)

_____________________________________________________________________________________________________________

(Address)

EMPLOYMENT EXPERIENCE

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Employment experience must cover 10 years. If you need additional space, please continue on a separate sheet of paper.

Employer

Employed

 

Hourly Rate/Salary

_________________________________________________

from ____/____ to ____/____

Starting_______ Ending______

Address

 

Your Job Title

________________________________________________________________

_____________________________________________

Telephone Number

 

Supervisor’s Name

________________________________________________________________

_____________________________________________

Reason For Leaving

 

 

 

_________________________________________________________________________________________________________________

Work Performed

_________________________________________________________________________________________________________________

Employer

Employed

 

Hourly Rate/Salary

_________________________________________________

from ____/____ to ____/____

Starting_______ Ending______

Address

 

Your Job Title

________________________________________________________________

_____________________________________________

Telephone Number

 

Supervisor’s Name

________________________________________________________________

_____________________________________________

Reason For Leaving

 

 

 

_________________________________________________________________________________________________________________

Work Performed

_________________________________________________________________________________________________________________

Employer

Employed

 

Hourly Rate/Salary

_________________________________________________

from ____/____ to ____/____

Starting_______ Ending______

Address

 

Your Job Title

________________________________________________________________

_____________________________________________

Telephone Number

 

Supervisor’s Name

________________________________________________________________

_____________________________________________

Reason For Leaving

 

 

 

_________________________________________________________________________________________________________________

Work Performed

_________________________________________________________________________________________________________________

Employer

Employed

 

Hourly Rate/Salary

_________________________________________________

from ____/____ to ____/____

Starting_______ Ending______

Address

 

Your Job Title

________________________________________________________________

_____________________________________________

Telephone Number

 

Supervisor’s Name

________________________________________________________________

_____________________________________________

Reason For Leaving

 

 

 

_________________________________________________________________________________________________________________

Work Performed

_________________________________________________________________________________________________________________

STATEMENT AND CONSENT

In compliance with the Privacy Act of 1974, the following information is provided:

Solicitation of the information contained within this application is authorized by 25 U.S.C. 2701 et.seq. The purpose of the requested in-

formation is to determine the eligibility of individuals to be employed in a gaming operation. The information will be used by The National Indian Gaming Commission members and staff who have need for the information in the performance of their oficial duties. The informa-

tion may be disclosed to appropriate Federal, Tribal, State, Local or Foreign Law Enforcement and Regulatory Agencies when relevant

to civil, criminal or regulatory investigations or prosecutions or when pursuant to a requirement by a tribe or The National Indian Gaming Commission in connection with the hiring or iring of an employee, the issuance or revocation of a gaming license or investigations of

activities while associated with a tribal or gaming operation. Failure to consent to the disclosures indicated in this notice will result in the tribe’s being unable to hire you in any position. _____Initial

A false statement on any part of your application may be grounds for not hiring you, or for iring you after you begin work. Also, you may be punished by ine or imprisonment (US Code, Title 18, Section 1001). _____Initial

Due to the nature of our business, you will be subject to an extensive background investigation including criminal history. Therefore, as a part of this application, you hereby authorize the CICC and its agents to investigate your references, and to make an independent investiga-

tion of your character, conduct, credit, education, employment and criminal records including the Federal Bureau of Investigation and/or any other clearance agencies and give the right to access any and all of your iles and/or records maintained by these agencies

___________________________ Signature

I hereby release all persons from liability as a result of such disclosure. ______________________________________ Signature

I hereby authorize and give my consent to be given a drug and/or alcohol test at any time the Tribal Authorities deem necessary. I agree to be tested by the doctor or lab appointed by the CICC and I further authorize the test results to be disseminated to the Tribal Council and/ or its agents for administrative use as they deem necessary. ____________________________________ Signature

I hereby authorize all persons who may have information relevant to this application or background investigation to disclose said informa- tion to the CICC and its agents. ____Initial

I understand that failure to reveal any prior employer, or the giving of false or misleading information, or the omission of any requested information on this application will be grounds for Colusa Indian Community Council (CICC) not hiring me or will justify termination of my employment. ____Initial

All employees are “employees at will”. There is no employment contract implied or expressed between any employee and the CICC.

____Initial

I HAVE READ AND UNDERSTAND THE ABOVE INFORMATION

Signature: ________________________________________________________________________________ Date: __________________

Print Name: ______________________________________________________________________________________________________

(Last)

(First)

(Middle Initial)

 

 

 

 

 

 

CICC Human Resources Department

Rev. 6/2011

CCR Human Resources Department