Career Application Form

Personal Information

First Name*:

Middle Name:

Last Name*:

Address Line*:

City*:

State:

Zip*:

Email Address*:

Phone*:

Example:111-111-1111

Mobile Phone:

Example:111-111-1111

Are you related to anyone working at Table Mountain Casino?

If "Yes", please list relatives below:

Referred by:

Have you ever been employed with Table Mountain Casino, Table Mountain Rancheria Government offices or Table Mountain Tribal Gaming Commission?

If YES, what Year AND what was your position

Failure to complete this section to the best of your knowledge may warrant a removal of your application from the hiring-review process.

Are you a member of a Federally Recognized American Indian Tribe?

If YES, what is the name
and state of the Tribe?

Tribe ID Number:
(must be provided)

Position(s) applied for:

Wage/Salary desired:

Date Available:

Shift Preferred - not guaranteed:

Do you have any physical condition which may limit your ability to perform the job for which you are applying?

If YES, describe:

Are you at least 18 years of age?

If you are applying for a supervisory or managerial position, are you at least 21 years of age?

If you are applying for a supervisory or managerial position, do you posess a Bachelor's degree?

If selected for a position, are you legally eligible to work in the United States?

In order to issue a Gaming License, Table Mountain Tribal Gaming Commission conducts a thorough background check on all applicants. Failure to disclose accurate information will result in an immediate denial of employment and future consideration.

Have you ever been convicted of, pleaded guilty to, or entered a plea of "no contest" to a felony?

If Yes, please explain: Required*
If no enter NONE

Education Information

Education Data *

High School (Name/Location):

Enter Last Year Completed:
Example 1,2,3 or 4

Diploma?

GED?


College, (Name/Location):

Enter Last Year Completed:
Example 1,2,3 or 4

Diploma?

Certification:


Vocational/Business School (Name/Location):

Enter Last Year Completed:
Example 1,2,3 or 4

Diploma?

Certification:

Work History Information

Former Employers

1. Company Name:

Phone:

Supervisor's Name:

Address:

Position:

Employed From
To:

Describe duties briefly:

Reason for Leaving:

Hourly Wages:


2. Company Name:

Phone:

Supervisor's Name:

Address:

Position

Employed From:
To:

Describe duties briefly:

Reason for Leaving:

Hourly Wages:


3. Company Name:

Phone

Supervisor's Name:

Address:

Position:

Employed From
To:

Describe duties briefly:

Reason for Leaving:

Hourly Wages:


Have you had any prior association, whether personal or business, with any member of Table Mountain Casino's Executive Management Team (or applicable Department Director), Table Mountain Rancheria Government Offices or Table Mountain Gaming Commission?

If Yes:

References

Please list three persons not related to you who have known you for at least one year:
(ex: Name/Occupation/Phone/Years Known)

1.

2.

3.

DISCLAIMER

As part of the hiring process, Table Mountain Casino will be checking references. Table Mountain Casino may contact the references identified above as well as former employers. When we contact a reference, we ask a series of questions. They are about your personal background, education, work experience, character, and other work-related behaviors. I understand that any misrepresentation or omission of facts is cause for immediate dismissal. If accepted for employment, I agree to abide by all policies and procedures. If employed, I understand that Table Mountain Casino is an "at-will employer" and I may be released of my duties without notice or cause by Table Mountain Casino or myself. I understand that my employment is for no defined period of time and if terminated, Table Mountain Casino is liable only for wages and benefits earned as of the date of termination.

I have read and fully understand the above paragraph.

Enter Your Name Here:
(represents an electronic signature)

Dated:

REQUIRED

Signature:
(represents an electronic signature)

Dated: