HON-DAH RESORT, CASINO AND
CONFERENCE CENTER
(Herein referred to as 'The Company')
Personnel Department
777 Highway 260
Pinetop, Arizona 85935

APPLICATION FOR EMPLOYMENT

 

  1. Read all instructions carefully. (Please Print or Type).
  2. Fill in all areas requested: if NOT APPLICABLE, write N/A.  Do not leave any spaces blank.
  3. Type or Print information and fill in information neatly and accurately.
  4. This application is not an employment contract.  False or misleading statements on this application or during the interview are grounds for termination.
INCOMPLETE  APPLICATIONS  WILL  BE  DELAYED  AND  MAY  AFFECT  YOUR  CHANCES  FOR EMPLOYMENT.

ASSISTANCE
ASSISTANCE IN FILLING OUT THIS APPLICATION IS AVAILABLE THROUGH THE HON-DAH CASINO, PERSONNEL DEPARTMENT.

1. POSITION(S) APPLIED FOR:                                                                   DATE:

2. NAME (Last, First, Middle):

3. ADDRESS (P.O. Box number/Street/Apt.No.):                                          4. CITY, STATE, ZIP CODE

 

5. COMMUNITY YOU LIVE IN:                                                                     PHYSICAL ADDRESS:

 

6. PHONE NUMBERS (Home, Work, Message):

7. ENROLLED MEMBER OF WHAT TRIBE - LIST ENROLLMENT NUMBER:

8. HAVE YOU EVER FILED AN APPLICATION WITH THE TRIBE BEFORE?
    YES NO     IF YES, GIVE DATES:

9. HAVE YOU EVER BEEN EMPLOYED WITH THE TRIBE BEFORE?
    YES NO     IF YES, GIVE DATES AND UNDER WHAT NAME:

10. HAVE YOU EVER USED ANOTHER NAME?
    YES NO    IF YES, PLEASE PROVIDE:

11. ARE YOU CURRENTLY EMPLOYED?
    YES NO    IF YES, MAY WE CONTACT YOUR PRESENT EMPLOYER?

12. TYPE OF EMPLOYMENT DESIRED:
    FULL-TIME    PART-TIME    TEMPORARY   ON-CALL    SEASONAL

13. SHIFTS ABLE AND WILLING TO WORK:
     DAY SHIFT    SWING SHIFT    GRAVE SHIFT   ANY
14. WILL YOU ACCEPT A JOB THAT REQUIRES YOU TO WORK ON WEEKENDS OR HOLIDAYS?
      YES NO

15. ARE YOU AT LEAST 21 YEARS OF AGE? (Proof of age and a gaming card may be required upon hiring.)
      YES NO

16. WILL YOU WORK OVERTIME, IF REQUIRED?
      YES  NO

17. IF REQUIRED, WILL YOU UNDERGO A PRE-EMPLOYMENT PHYSICAL?
      YES NO

18. HAVE YOU EVER BEEN ARRESTED?
      YES NO

19. HAVE YOU EVER BEEN CONVICTED OF A FELONY? (Such conviction may be relevant, if job related, but does not bar your fromemployment.)
        YES NO    IF YES, PLEASE EXPLAIN BELOW THE NATURE OF THE OFFENSE, DATE AND LOCATION:

 


 


 


 

20. DRIVER'S LICENSE NUMBER (If required for job):                                                                   STATE:
 

21. CAN YOU PERFORM THE ESSENTIAL FUNCTIONS OF THIS JOB WITH OR WITHOUT REASONABLE ACCOMMODATION?
     YES NO

22. IF LIFTING IS REQUIRED ON THE JOB, INDICATE THE AMOUNT OF WEIGHT YOU ARE WILLING AND ABLE TO LIFT:
     up to 25 lbs.    25-50lbs.     more than 50 lbs.

23. CAN YOU, AFTER YOUR EMPLOYMENT , SUBMIT VERIFICATION OF YOUR LEGAL RIGHT TO WORK IN THE U.S.? (Proof of identity and legal authority to work in the U.S. is a condition of employment.) 
      YES NO

24. HAVE YOU SERVED IN THE U.S. MILITARY? IF YES, PLEASE PROVIDE A DESCRIPTION OF SKILLS YOU ACQUIRED THAT MIGHT BE RELEVANT TO YOUR EMPLOYMENT HERE:
     YES NO 

REFERENCES
List three persons not related to you who have knowledge of your qualifications for the position for which you are applying.
 

Name

Title/Relationship

Address
(Street, City, State, ZIP Code)

Phone No.
(Including Area Code)

Occupation
                                                                                      
                                                                                  
                                                        


HAVE YOU EVER BEEN BONDED? IF YES, ON WHAT JOBS?
     YES NO

WAGE OR SALARY REQUIRED_____________________________  DATE AVAILABLE _________________________
EDUCATIONAL HISTORY

School Name

Location (City, State)

Major Course or Subject

Graduated
Yes   /  No

Degree
High School                                                                                         /                  
Technical/Trade (After High school)                                                          /                    
                                                             /                      

College (List all Attended)   

Location (City, State)

Major Course or Subject

Graduated
Yes   /  No

Degree
                                                                                                                             /                        
Other Education/Training                                                                       /                 
                                           /                   
EMPLOYMENT RECORD
Starting with present or most recent, list all previous employers.  Include self-employment and summer and part-time jobs.  If more space is required, please continue on a separate sheet.  You may attach a resume, but complete this application as well.

LAST OR PRESENT COMPANY:                                              TYPE OF BUSINESS:                                         

  JOB TITLE:
STREET ADDRESS:                                                                   PHONE NUMBER:   BRIEF DESCRIPTION OF JOB DUTIES:           
CITY:                                                                                              ZIP CODE:              

SUPERVISOR'S NAME:                                                              PHONE NUMBER:

                                                             

BASE SALARY:                                                                            DATES WORKED:

                                                              

REASON FOR LEAVING:

                                                               

LAST OR PRESENT COMPANY:

  JOB TITLE:

STREET ADDRESS:

  BRIEF DESCRIPTION OF JOB DUTIES:                            

CITY:

                                                               

SUPERVISOR'S NAME:

                                                                 

BASE SALARY:

                                                                   

REASON FOR LEAVING:

                                                              
LAST OR PRESENT COMPANY:                                              TYPE OF BUSINESS:                                            JOB TITLE:
STREET ADDRESS:                                                                   PHONE NUMBER:   BRIEF DESCRIPTION OF JOB DUTIES:           
CITY:                                                                                             ZIP CODE:  

SUPERVISOR'S NAME:                                                             PHONE NUMBER:

                                                             

BASE SALARY:                                                                           DATES WORKED:

                                                              

REASON FOR LEAVING:

                                                               

LAST OR PRESENT COMPANY:

  JOB TITLE:

STREET ADDRESS:

  BRIEF DESCRIPTION OF JOB DUTIES:                            

CITY:

                                                               

SUPERVISOR'S NAME:

                                                                 

BASE SALARY:

                                                                   

REASON FOR LEAVING:

                                                                   

 

I hereby certify that the information contained in this application is true and correct to the best of my knowledge, and I understand that a routine inquiry may be during the initial or subsequent processing of this application which will provide applicable information concerning character, general reputation, personal characteristics, and mode of living. Upon written request, additional information regarding inquiry, if one is made, will be provided. I authorize the references listed above, as well as all other individuals whom the company contacts to provide the company any and all information concerning my previous employment and other pertinent information that they may have.  Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to the company as well as from the use or disclosure of such information by the company or any of its agents, employees, or representatives.  I understand that any misrepresentation, falsification or material omission of information on this application may result in my failure to receive an offer or, if I am hired, my dismissal from employment.  In consideration of my employment, I agree to conform to the rules and standards of the company as amended by the company from time to time in its discretion.  I further agree that my employment and compensation can be terminated at will, with or without cause, with or without notice, at any time, either at my option or at the option of the company.  I understand that I am not being employed for any specific time, and that this application is not intended to be a contract for continued employment.  I understand that no employee or representative of the company, other than its General Manager, has the authority to enter into any agreement contrary to the foregoing.  Further, the General Manager of the company may not alter the at-will nature of the employment relationship unless he does so specifically and in writing that he signs.  I also understand that all offers of employment are conditioned upon the provision of satisfactory proof of the applicant's identity and legal authority to work in the United States.

I hereby acknowledge by my signature below that I have read and understand the foregoing certification.

SIGNATURE  ________________________________________________

U.S. Immigration Law requires proof of U.S. Citizenship or "Right to Work" authorization.  Upon employment you must present:
One of the Following:
U.S. Passport
Certificate of U.S. Citizenship 		    OR    Two of the following:
Valid Driver's License with Photo
U.S. Military Card
Birth Certificate		 INS Card
Tribal I.D.
Social Security Card