ONLINE EMPLOYMENT APPLICATION Job Applying For? (Job Choice) *
Who Were You Referred By? (if anyone)
Email Address *
Home Phone Number *
Cell Phone Number *
Full Name (Include Title & Suffix if Applicable) *
Nickname (AKA)
Current Physical Street Address *
Apartment / Unit / Suite #
City *
State / Province / Region *
Postal / Zip Code *
Country *
How Long at This Address? * Less Than 1 Year 1 Year 2 Years 3 Years 4 Years 5 or More Years
MAILING ADDRESS (IF DIFFERENT)
Street Address
Apartment / Unit / Suite #
City
State / Province / Region
Postal / Zip Code
Country
Street Address *
Apartment / Unit / Suite #
City *
State / Province / Region *
Zip / Postal Code *
Country *
How Long at This Address? * Less Than 1 Year 1 Year 2 Years 3 Years 4 Years 5 or More Years
Employment Desired? * Select All That Apply Full Time Part Time On-Call Any
Shifts Available? * Select All That Apply Day Swing Grave Any
Your Age * Over 18 But Under 21 Over 21
Have you ever applied for a job at Casino Pauma? * No Yes
If Yes, When?
Have you ever worked for Casino Pauma? * No Yes
If Yes, When?
Do you relatives that currently work at Casino Pauma? * No Yes
If Yes, Name and Position?
Have you ever been convicted of a felony? * No Yes
If Yes, Explain Offense, Date of Offense and Location
Do you have the legal right to live and work in the United States? * Yes No
EMPLOYMENT HISTORY Beginning with the most recent information, list all present and past employment for the past ten (10) years, including summer, part time employment and U.S. Military service. For unemployed or self-employed periods, show dates, earnings and location.
Business Name
Job Title
Pay Rate
Employer Phone Number
Employer Address
Dates (from when to when)?
Reason for Leaving?
Business Name
Job Title
Pay Rate
Employer Phone Number
Employer Address
Dates (from when to when)?
Reason for Leaving?
Business Name
Job Title
Pay Rate
Employer Phone Number
Employer Address
Dates (from when to when)?
Reason for Leaving?
Additional Employment History
SKILL INVENTORY SURVEY This inventory is designed to help us determine your interests and qualifications for employment in various job classifications or positions with Casino Pauma.
Please specify the skills you possess for the position(s) for which you have applied *
List any other specific skills, training or experience you have obtained which would be valuable to an employer *
LANGUAGE PROFICIENCY Please list any languages (including English) in the appropriate fields below.
Languages You Can Read *
Languages You Can Write *
Languages You Can Speak *
Name of School *
Address *
Graduated? * Yes No GED
EDUCATION: COLLEGE / UNIVERSITY / TRADE SCHOOL
Name of School
Address of School
Major / Course of Study
Years Attended
Highest Level Degree Attained Not Applicable / None Certification Associate‘s Degree Bachelor’s Degree Master’s Degree Doctorate
Additional degrees, certifications, or relevant information about your education
Military Branch None Navy Marines Air Force Army Coast Guard
Length of Service
REFERENCES Please provide three (3) references whome you have known for at least five (5) years. Do NOT include relatives or former employers. Provide name, address, years known, and phone number for all references.
Reference #1 *
Reference #2 *
Reference #3 *
ADDITIONAL INFORMATION Casino Pauma is an equal opportunity employer. We reserve the right to give all qualified Native Americans preference in hiring and promotions.
Are You a Native American? No Yes
If Yes, Please Provide Enrollment Number
APPLICANT AFFIRMATIONS In making this application, I realize that my character, reputation for honesty, habits, ability, records of criminal conviction, if any, financial responsibility and reasons for leaving employment may be investigated and that persons who know me, now and/or in the past, may be contacted and questioned about me to which I hereby give consent. Anyone who may furnish any information concerning my character, habits, ability, criminal convictions, financial responsibility or any reason for leaving any employment shall not be held responsible for any loss or damage that I may suffer in consequence thereof. I further agree that any information obtained by Casino Pauma from any source will be held confidential by Casino Pauma from all persons and even against demand made by me, except as required by law. It is the policy of Casino Pauma to consider all the information supplied by the applicant in assessing his/her qualifications for employment. I understand and agree that my employment is at will, that nothing in this form shall be deemed to create any contract of employment between me and Casino Pauma, and that my employment can be terminated at any time by myself or Casino Pauma with or without cause and with or without prior notice. I understand and agree that any statements to the contrary, whether oral or written are expressly disavowed and are not to be relied upon by me.
I understand and agree to the following:
I understand that all statements on my application are subject to verification that any omissions, incorrect or false statements on this document will be sufficient grounds for termination at any time during my employment. *
I understand that applicable law insures me the right to reasonable accommodation and that a request for accommodation will not affect my opportunity for employment. I understand that it is my responsibility to make my needs known to the HR Staff of Casino Pauma if I need accommodation for completing an application form, interviewing or any other part of the employment process.
At any time during my employment, I may be required to take a hair, blood, urine or saliva test and my refusal may result in my immediate termination. *
I further understand that any information regarding my criminal or military History will not necessarily disqualify me from the job for which I am initially applying or hired. *
If I am offered employment, I agree to submit to a pre-employment drug test. If I refuse to be tested or fail to pass the test, I understand that any job offer may be withdrawn. *
If I am offered employment, I agree to submit verification of my legal right to work in the United States. *
I also understand that if my application is incomplete in any way, it will not be forwarded for further consideration of employment. *
4 + 3 = ? Please prove that you are human by solving the equation *
