Yakama Nation Human Resources Office UPDATED 2018
YAKAMA NATION APPLICATION FOR EMPLOYMENT
Name: Other Legal Names Used: Date of Birth:
Mailing Address: City: State: Zip Code:
Last 4 digits of SS No.: Email Address: Phone: Phone:
xxx-xx-
Alternate:
Valid WA St. Driver’s License? Yes
Driver License No.
:
No
EDUCATIONAL:
High School:
Trade or Business School:
College:
Other (GED, training):
Name City/State Dates
Attended
Year
Graduated
Diploma or
Degree received
Describe Any Specialized Training, Apprenticeships, Skills, and Other Training Activities: (Include Dates)
List Any Honors That You Have Received:
INDIAN PREFERENCE: Provide proof of eligibility with this application.
A.
Tribe: Enrollment No.:
B.
Enrolled Indian Spouse of a Yakama Enrolled Member. Your Tribe/Enrollment No:
Spouses Name/Enrollment No:
C.
Descendent of an enrolled Yakama Member (attach proof from YN Enrollment Office)
Enrolled Members Name/Enrollment No.:
D.
Spouse of a Yakama Enrolled Member. I am not enrolled with any federally recognized tribe.
Spouse Name/Enrollment No.:
MINORS: ***Please Provide Copy*** If you are under (18) years of age, must have parent/guardian sign a work permit.
IMMIGRATION:
: If selected for employment with the Yakama Nation, you will be required to provide documentation stating
you are authorized to work in the United States.
Provided:
Yes
No
VETERAN PREFERENCE: The Yakama Nation recognizes honorable military service.
***Please provide a copy of your DD-214 with this application. *** Provided:
Yes
No
SELECTIVE SERVICE: Males born after 12/31/59 who are 18 but not yet 26 years old must be registered with Selective Service.
Please provide Selective Service No.:
REFERENCES: (Attach letters of reference-optional.)
Name of Reference: Address Phone No.:
MISCELLANEOUS: Have you committed any crime or felony that would prevent you from working for the Yakama Nation?
Yes No If yes, provide explanation:
***IMPORTANT ~ PLEASE READ THE FOLLOWING STATEMENT BEFORE SIGNING***
Information provided in this application is true, correct, and complete. I understand that, if employed, any misinformation or omission of fact
pertaining to this application could result in dismissal. I understand that acceptance of an oral offer of employment does not create a
contractual obligation and that conditions of employment are pursuant to the Yakama Nation Personnel Policy Manual. I understand that
the Yakama Nation is a Drug-Free Work Place and a pre-employment drug and alcohol test is required. I hereby give my permission to the
Yakama Nation to conduct a background check, confer with previous/current employers and references, and confirm my education and/or
credit background as required.
PLEASE PRINT YOUR FULL NAME
:
DATE:
SIGNATURE:
