Job Applications Download PDF Cheesh’na Tribal Council HC01 Box 217 Gakona, AK 99586 907-822-3503 Personal InformationName First Last Date of Application MM slash DD slash YYYY Address* Street Address Address Line 2 City State / ProvinceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell PhoneHome PhoneEmail Tribe How did you learn of our company? Position Sought Available Start Date MM slash DD slash YYYY Desired Pay Range Are you currently employed?YesNoIf so, may we contact your employer?YesNoAre you a US citizen?YesNoIf yes, are you authorized to work in the U.S.?YesNoHave you ever worked for this company?YesNoIf so, when? EducationHigh School Name and LocationHigh School Graduate?YesNoCollege or University College Graduate?YesNoDegree Major/Subjects of Study Specialized Training Trade School, etc.Graduate?YesNoDegree Major/Subjects of Study Other Education Graduate?YesNoDegree Major/Subjects of Study Years of Typing Experience Words Per Minute Other Office Equipment Used Select All Printer Copier Fax Scanner Calculator Please list your areas of highest proficiency, special skills or other items that may contribute to your abilities in performing the above-mentioned position.Previous ExperienceCompany Name Location Title/Role Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Starting Salary Ending Salary Job notes, tasks preformed, and reason for leaving: You may contact my previous supervisor for a reference PhoneCompany Name Location Title/Role Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Starting Salary Ending Salary Job notes, tasks preformed, and reason for leaving: You may contact my previous supervisor for a reference PhoneCompany Name Location Title/Role Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Starting Salary Ending Salary Job notes, tasks preformed, and reason for leaving: You may contact my previous supervisor for a reference PhoneCompany Name Location Title/Role Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Starting Salary Ending Salary Job notes, tasks preformed, and reason for leaving: You may contact my previous supervisor for a reference PhoneMilitary ServiceBranch From MM slash DD slash YYYY To MM slash DD slash YYYY Rank at Discharge Type of Discharge If other than honorable, please explain.Disclaimer and SignatureI certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.* I understand and agree to the above statement.E-Signature* Today's Date MM slash DD slash YYYY Δ
