Fillable EMPLOYMENT APPLICATION (rev/approved 2015) (Colorado River Indian Tribes)

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EMPLOYMENT APPLICATION (rev/approved 2015) (Colorado River Indian Tribes)

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The EMPLOYMENT APPLICATION (rev/approved 2015) (Colorado River Indian Tribes) form is 4 pages long and contains:

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  • 12 check-boxes
  • 147 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Colorado River Indian Tribes

BROWSE COLORADO RIVER INDIAN TRIBES (AZ) FORMS
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Please submit applications to crithr@crit-nsn.gov; fax: 928.669.5263 or in person at 26600 Mohave Rd, Parker AZ 85344 1 | Page
EMPLOYMENT APPLICATION (rev/approved 2015)
POSTION APPLYING FOR: ______________________________ ANNOUNCEMENT#: _ _____ Date Available: _____________
List any other Position/Announcement number below:
Announcement #
Position(s) Applying For
Department
NAME EMAIL:
LIST ALL OTHER NAMES USED (if applicable): ________________________________________________________________
ADDRESS
STREET CITY STATE ZIP
HOME NUMBER:_ ___________MOBILE NUMBER: ____________ Message:
ARE YOU OVER 18 YEARS OLD? YES NO
I am an enrolled member of the Colorado River Indian Tribes - Enrollment#: _______________________
I am an enrolled member of: _____________________________ Enrollment#: _______________________
Have you ever served in the US Military Service? Yes No
If Yes, list Rank & Type of Discharge: ____________________________________________________
Are you willing to submit to a pre-employment drug test and if hired, submit to random drug testing? Yes No
Do you have a Valid Driver’s License YES NO
Issuing State____ Date Expires____________ Drivers License #:
Have you worked here before? Yes No If yes; List Previous Employment (Dates & Position(s):_ _________________
Are you authorized to work in the U.S. on an unrestricted basis? Yes No
How did you learn of this opening?
Are you able to work? Full Time Part time Days Evenings Weekends Holidays
Are there any hours, shifts or days you cannot or will not work? Yes No
Shift preferred Part-Time Hours Full-Time Hours
Are you related to a current employee in the Department for which you are applying? Yes No
If yes, who and what is the relationship?
Have you ever been convicted of a crime (in any court) within last 7 years? Yes No
If yes, please describe the charges and disposition.
Year
County
State
Disposition
Please submit applications to crithr@crit-nsn.gov; fax: 928.669.5263 or in person at 26600 Mohave Rd, Parker AZ 85344 2 | Page
Education
NAME & LOCATION OF SCHOOL
DIPLOMA / DEGREE RECEIVED
Other Training/Education
Identify all licenses or certifications which you currently hold.
Please attach additional documents and/or information if necessary.
Name of license(s)/certification(s):
Licenses/certifications number(s): Issuing State(s):
Have your license(s)/certification(s) ever lapsed?
If yes, state reason for lapse, revocation or suspension:
Date(s) of reinstatement:
Are you Bondable? Yes No
In addition to your work history (as indicated below), what other experiences, skills, or qualifications do you possess?
-
WORK HISTORY
May we contact your present employer? Yes No
If No, please explain: __________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Most Recent Employer:
Date Hired:
Date Left:
Employer Address:
Employer Telephone:
Starting Position
Position on Leaving
Name and Title of Supervisor:
Description of Duties:
Reason for Leaving:
Please submit applications to crithr@crit-nsn.gov; fax: 928.669.5263 or in person at 26600 Mohave Rd, Parker AZ 85344 3 | Page
Previous Employer:
Date Hire:
Date Left:
Employer Address:
Employer Telephone:
Starting Position:
Position on Leaving
Name and Title of Supervisor:
Description of Duties:
Reason for Leaving:
Previous Employer:
Date Hired:
Date Left:
Employer Address:
Employer Telephone:
Starting Position:
Position Leaving:
Name and Title of Supervisor:
Description of Duties:
Reason for Leaving:
Previous Employer:
Date Hired:
Date Left:
Employer Address:
Employer Telephone:
Position on Starting:
Position on Leaving
Name and Title of Supervisor:
Description of Duties:
Reason for Leaving:
Professional Reference Names
Title/Company
Contact Phone # & Email
Please submit applications to crithr@crit-nsn.gov; fax: 928.669.5263 or in person at 26600 Mohave Rd, Parker AZ 85344 4 | Page
APPLICANT'S CERTIFICATION AND AGREEMENT
*PLEASE READ CAREFULLY BEFORE SIGNING*
I hereby certify all of the information provided by me in this application (or any other accompanying or
required documents) is correct, accurate and complete to the best of my knowledge. I understand the
falsification, misrepresentation or omission of any facts in said documents will be cause for denial of
employment or immediate termination of employment regardless of the timing or circumstances of
discovery.
I understand submission of an application does not guarantee employment. I understand none of the
documents, policies, procedures, actions, statements of Colorado River Indian Tribes or its representatives
used during the employment process is deemed a contract of employment real or implied, I understand no
representative of Colorado River Indian Tribes except the Tribal Chairman or Authorized Designee has the
authority to enter into any agreement guaranteeing any conditions of employment or any agreement
contrary to the foregoing statements and any such agreements must be made in writing and signed by the
Tribal Chairman or Authorized Designee.
In consideration for employment with Colorado River Indian Tribes if employed, I agree to conform to the
rules, regulations, policies and procedures of Colorado River Indian Tribes at all times and understand that
such obedience is a condition of employment. I understand due to the nature of Colorado River Indian
Tribes business, attendance and punctuality are considered essential requirements of every job and that
poor attendance or tardiness will result in disciplinary action.
I understand if offered a position with Colorado River Indian Tribes, I am required to submit to a drug
screening and background check as a condition of employment. I understand unsatisfactory results from,
refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and
background checks will result in withdrawal of any employment offer or termination of employment if
already employed. I hereby authorize any and all schools, former employers, references, courts and any
others who have information about me to provide such information to Colorado River Indian Tribes and/or
any of its representatives, agents or vendors and I release all parties involved from any and all liability for
any and all damage that may result from providing such information.
I understand this application is considered current for three months. If I wish to be considered for
employment after this period I must fill out and submit a new application.
BY SIGNING BELOW I ACKNOWLEDGE I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE
STATEMENTS.
Date Applicant's Signature
Within the context and intent of Tribal and Veterans Preference and position minimum requirements, C.R.I.T. will provide Equal
Employment Opportunity without regard to Race, Color, Sex, Age, Disability, Religion, National Origin, Marital Status, Ancestry,
Sexual Orientation or Political Belief.
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EMPLOYMENT APPLICATION (revapproved 2015) (Colorado River Indian Tribes)

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Completed 20 July 2020

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