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Lucky Dog Casino 19330 N. US Hwy 101
Skokomish Nation, WA, 98584
360.877.5656
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Job Application Form

Please fill out all fields. Incomplete forms may delay application.

General Information:


* FirstMI* Last
* Address
* City* State* Zip
* Home PhoneMobile Phone 
 
* Email
* Social Security Number* Date of Birth* Drivers License # and State
 
Have you ever applied for employment with us? Yes No
    Month and Year:   Position: 
Do you have any family members employed here? Yes No
    names:  
Are you 21? (Most positions require you to be 21) Yes No
    If not, when will you be 21:  
Do you have a Class III License? Yes No
Do you have a current Food Handlers Permit? Yes No
Do you have a Class 13 Alcohol Servers Permit? Yes No
Do you have a Class 12 Mixologist Permit? Yes No
 
Are you a Skokomish Tribal Member? Yes No
    If yes, what is your enrollment number:  
Are you a Federally Recognized Tribe member? Yes No
    If yes, what is your enrollment number:  
 
Did you serve in the U.S. Armed Forces? Yes No
    If yes, what branch:  
 
Do you have transportation? Yes No
    if yes, the applicant's driving record is
Do you have automobile insurance? Yes No
    subject to review for tribal insurance purposes.
 
Have you ever been convicted of a felony? Yes No
Have you ever been convicted of a Misdemeanor? Yes No
Are you on probation for either? Yes No
    If you answered yes to any of the above conviction questions, please elaborate.

Job Information


Positions Applying For:
*  First PositionSecond PositionThird Position
 
* When are you available to begin work?What shifts can you work?Are you available for?
Day Swing Grave Any Full-Time Part-Time On-Call Any
 
Describe any special skills, training, apprenticeships, or activities, which you feel qualifies you for the position: (maximum 500 characters)
 
 
Describe your customer service experience and skills: (maximum 500 characters)
 

Education


 Are you a high school graduate or do have passed a GED test? Yes No
  If No, highest grade completed:  
 
 List post high school training, including college, business school, military training, and other relevant education.
Education
  First School  Second School  Other School 
Graduated?: Yes No Yes No Yes No
Name and Location:
Major:
Degree:
Graduation Date:
Credits Earned:


Employment History

Please list your teaching / work experience (including your current employer).

Work Experience
  First Employer  Second Employer  Third Employer 
May we contact employer?: Yes No Yes No Yes No
Employer Name:
Your Title:
Employer Address:


City, State, Zip:

  

  

  
Start Date:
End Date:
Supervisor's Name:
Supervisor's Title:
Phone Number:
Email:
Monthly Pay: Start: Last: Start: Last: Start: Last:
Average Hours Per Week:
Brief Description of
duties and responsibilities:		 (maximum 500 characters)
 (maximum 500 characters)
 (maximum 500 characters)
Reason for Leaving: (maximum 500 characters)
 (maximum 500 characters)
 (maximum 500 characters)
    
    
  Fourth Employer  Fifth Employer  Sixth Employer 
May we contact employer?: Yes No Yes No Yes No
Employer Name:
Your Title:
Employer Address:


City, State, Zip

  

  

  
Start Date:
End Date:
Supervisor's Name:
Supervisor's Title:
Phone Number:
Email:
Monthly Pay: Start: Last: Start: Last: Start: Last:
Average Hours Per Week:
Brief Description of
duties and responsibilities:		 (maximum 500 characters)
 (maximum 500 characters)
 (maximum 500 characters)
Reason for Leaving: (maximum 500 characters)
 (maximum 500 characters)
 (maximum 500 characters)


References

Please list two professional references and two character references. Please include their addresses, phone numbers (including FAX) and e-mail address, if available.

References
  First Reference Second Reference Third Reference
Name:
Position:
Relationship:
Address:


City, State, Zip

  

  

  
Phone:
Fax:
Email:


Optional


Please note anything that you feel would add you in seeking the position you are applying for: (maximum 500 characters)
 
Are you currently or have you ever been a habitual user of alcohol or habit forming non-prescription drugs? Yes No
 
if treatment was sought please describe when, where, and who provided treatment: (maximum 500 characters)
 
A positive answer to any of the above questions does not prohibit you from being hired for the position you are applying for. We do ask that you elaborate on the answer: (maximum 500 characters)


Application Signature

 
  * I have read and agree to all the terms and conditions listed below.
 
* Signature:  
* Signature Date:  
By entering your full name and date into the fields above, you are digitally signing this job application

All answers and statements made are true and complete to the best of my knowledge. Furthermore, I hereby give the Lucky Dog Casino permission to verify all information and references on this application.

I authorize investigation of all statements contained in this application for employment. I understand that misrepresentation or omission of facts called hereon will be sufficient cause for cancellation or consideration for employment or dismissal from the organization if I have been employed.



Terms and Conditions

Please Read the Following Statements Carefully
With a signature below, the applicant acknowledges asking for assistance with the following:

  1. Truthfulness: The applicant hereby states that the information contained in this application is true, correct and complete to the best of his/her knowledge. The applicant understands that falsification, omission or misrepresentation of information on this application or any subsequent information made by The Lucky Casino or its agents (here after referred to as (LDC) are grounds for withdrawal of the offer of employment and/or disciplinary action up to and including the termination of employment.
  2. Background Check: The applicant hereby authorizes LDC to conduct a routine inquiry during LDC’s initial and subsequent processing of this application which will provide LDC with applicable information concerning the applicant’s character, general reputation, personal characteristics, personal credit history and any other information which is determined by LDC to be necessary to determine the applicant’s suitability for employment. The applicant’s signature below also authorizes such inquires to be held at any time during employment with LDC should the applicant be employed by LDC.
  3. Identification: The applicant acknowledges that Federal Law prohibits companies from hiring any person unless he/she presents documents, which establish that person’s identity and eligibility to work in the United States. The applicant acknowledges that providing such documentation is a condition of employment.
  4. Gaming License: State Law and Skokomish Tribal Gaming Commission policy prohibit any person to work at The Lucky Dog Casino without obtaining and maintaining a valid {non-gaming or gaming} license as issued by the Skokomish Tribal Gaming Agency. The applicant acknowledges that obtaining and maintaining such a license is a condition of employment.
  5. Drug Testing: The Lucky Dog Casino is committed to providing quality work and service by providing a healthy, safe, drug-free workplace for its employees, council members, and the community which it serves. To achieve this goal, final applicants for employment will be tested for illegal drugs and alcohol after receiving a conditional job offer.
  6. At Will Employment: The applicant acknowledges that this application for employment in no way implies a contract for employment between the applicant and LDC. If employed by LDC, the applicant further understands that his/her employment is terminable by LDC at will, that he/she is not being employed for any specified time, and that employment is not guaranteed in any way through a contract unless defined specifically in a written agreement authorized and signed by the General Manager/CEO and/or the Tribal Chairperson of the Skokomish Indian Nation and the applicant/employee.
  7. Health Examination: The applicant is aware that some positions at LDC may require the applicant to undergo a health examination as a prerequisite for employment and that the information from this examination will be released on a need to know basis to LDC.
  8. General Release: The applicant hereby releases LDC, its agents and any person or entity that provides or receives information pursuant to the above statements from any and all liability and any damage which may arise there from.
  9. Preference: Indian preference applies with first preference given to enrolled Skokomish Tribal members. Applicants not entitled to or who fail to claim Indian preference will receive consideration without regard to ethnic/national origin, marital status, sexual orientation, religion, disability status, or membership in another Tribal organization.
 


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