Job Applications Download PDF Cheesh’na Tribal Council HC01 Box 217 Gakona, AK 99586 907-822-3503 Email APPLICANT INFORMATION Last Name * First Name * M.I. Date Street Address Apartment/Unit # City State - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP Phone Number E-mail Address Date Avaliable Desired Salary Tribe Position Applied For Are you a United States citizen? Yes No If no, are you authorized to work in the U.S.? Yes No Have you ever worked for this company? Yes No If so, when? Are you employed now? Yes No If so, may we contact your employer? Yes No Type of Employment Full-Time Part-Time Summer Temporary EDUCATION High School Address Attended From To Did you graduate? Yes No College or Trade School Address Attended From To Did you graduate? Yes No Degree Years of Typing Experience Words Per Minute Other Office Equipment Used Printer Copier Fax Scanner Calculator Computer Software and Hardware Experience EMPLOYMENT HISTORY List present or most recent positions first. Company Name Phone Number Address Name and Position of Supervisor Job Title Starting Salary Ending Salary Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? Yes No Company Name Phone Number Address Name and Position of Supervisor Job Title Starting Salary Ending Salary Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? Yes No Company Name Phone Number Address Name and Position of Supervisor Job Title Starting Salary Ending Salary Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? Yes No Company Name Phone Number Address Name and Position of Supervisor Job Title Starting Salary Ending Salary Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? Yes No MILITARY SERVICE Branch From To Rank at Discharge Type of Discharge If other than honorable, explain: DISCLAIMER AND SIGNATURE I 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. E-Signature Date
