(Required) = you MUST fill out this field or form will not allow you to submit.

Address 1 (Required)

Address 2

City (Required)

State/Province (Required)

Zip (Required)

Phone (Required)

Email Address (Required) (must use this format: youraddress@yahoo.com)

Are you 18 years of age or older? (Required) Yes No

Have you ever filed an application with us before? Yes No

If yes, give date

Have you ever been employed with Sault Tribe and/or any of its entities? (Required) Yes No

If yes, give date

Are you currently employed? (Required) Yes No

If yes, may we contact your present employer? (Required) Yes No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Proof of citizenship or immigration status will be required upon employment. (Required) Yes No

On what date would you be available for work?

Are you available to work: Full Time Part Time Shift Work Temporary

Are you currently on "lay-off" status and subject to recall? Yes No

Will you relocate if job requires it? Yes No

Can you travel if job requires it? Yes No

Have you been convicted of a crime? Yes No

If Yes, please explain

EDUCATION

Elementary School Name and location

Years Completed 4 5 6 7 8

Do you have a High School Diploma or equivalent certificate? (Required) Yes No

High School Name and Location

Years Completed 9 10 11 12

Describe Course of Study

Undergraduate College/University Name(s) and Location(s) (Please enter N/A if this does not apply)

Years Completed 1 2 3 4

Describe Course of Study

Graduate / Professional School Name and Location (Please enter N/A if this does not apply)

Years Completed 1 2 3 4

Describe Course of Study

Describe any specialized training, apprenticeships, skills and extra-curricular activities

Describe any honors you have received

State any additional information you feel may be helpful to us in considering your application

If claiming Native American preference, verification must be submitted ***Required*** Sault Tribe Member Sault Tribe Household Other Native American Other

Male or Female? Male Female

Driver's License Number (if driving is an essential function of the position applying for)

State 1) Alabama 2) Alaska 3) Arizona 4) Arkansas 5) California 6) Colorado 7) Connecticut 8) Delaware 9) Florida 10) Georgia 11) Hawaii 12) Idaho 13) Illinois 14) Indiana 15) Iowa 16) Kansas 17) Kentucky 18) Louisiana 19) Maine 20) Maryland 21) Massachusetts 22) Michigan 23) Minnesota 24) Mississippi 25) Missouri 26) Montana 27) Nebraska 28) Nevada 29) New Hampshire 30) New Jersey 31) New Mexico 32) New York 33) North Carolina 34) North Dakota 35) Ohio 36) Oklahoma 37) Oregon 38) Pennsylvania 39) Rhode Island 40) South Carolina 41) South Dakota 42) Tennessee 43) Texas 44) Utah 45) Vermont 46) Virginia 47) Washington 48) West Virginia 49) Wisconsin 50) Wyoming

List professional, trade, business or civic activities and offices held. (You may exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, or handicap or other protected status)

Give name, address and telephone number of three references who are not related to you and are not previous employers.

Have you ever had any job-related training in the United States Military? Yes No

If yes, please describe

Can you physically perform the essential duties of the job in which you wish to be employed, with or without accommodation? ***Required*** Yes No

EMPLOYMENT HISTORY

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, handicap or other protected status.

JOB #1

Employer

Address

City

State 1) Alabama 2) Alaska 3) Arizona 4) Arkansas 5) California 6) Colorado 7) Connecticut 8) Delaware 9) Florida 10) Georgia 11) Hawaii 12) Idaho 13) Illinois 14) Indiana 15) Iowa 16) Kansas 17) Kentucky 18) Louisiana 19) Maine 20) Maryland 21) Massachusetts 22) Michigan 23) Minnesota 24) Mississippi 25) Missouri 26) Montana 27) Nebraska 28) Nevada 29) New Hampshire 30) New Jersey 31) New Mexico 32) New York 33) North Carolina 34) North Dakota 35) Ohio 36) Oklahoma 37) Oregon 38) Pennsylvania 39) Rhode Island 40) South Carolina 41) South Dakota 42) Tennessee 43) Texas 44) Utah 45) Vermont 46) Virginia 47) Washington 48) West Virginia 49) Wisconsin 50) Wyoming

Zip

Telephone Number

Job Title

Supervisor

Reason For Leaving

Date Employed From / To

Hourly Rate / Salary Starting

Hourly Rate / Salary Final

JOB #2

Employer

Address

City

State 1) Alabama 2) Alaska 3) Arizona 4) Arkansas 5) California 6) Colorado 7) Connecticut 8) Delaware 9) Florida 10) Georgia 11) Hawaii 12) Idaho 13) Illinois 14) Indiana 15) Iowa 16) Kansas 17) Kentucky 18) Louisiana 19) Maine 20) Maryland 21) Massachusetts 22) Michigan 23) Minnesota 24) Mississippi 25) Missouri 26) Montana 27) Nebraska 28) Nevada 29) New Hampshire 30) New Jersey 31) New Mexico 32) New York 33) North Carolina 34) North Dakota 35) Ohio 36) Oklahoma 37) Oregon 38) Pennsylvania 39) Rhode Island 40) South Carolina 41) South Dakota 42) Tennessee 43) Texas 44) Utah 45) Vermont 46) Virginia 47) Washington 48) West Virginia 49) Wisconsin 50) Wyoming

Zip

Telephone Number

Job Title

Supervisor

Reason For Leaving

Date Employed From / To

Hourly Rate / Salary Starting

Hourly Rate / Salary Final

JOB #3

Employer

Address

City

State 1) Alabama 2) Alaska 3) Arizona 4) Arkansas 5) California 6) Colorado 7) Connecticut 8) Delaware 9) Florida 10) Georgia 11) Hawaii 12) Idaho 13) Illinois 14) Indiana 15) Iowa 16) Kansas 17) Kentucky 18) Louisiana 19) Maine 20) Maryland 21) Massachusetts 22) Michigan 23) Minnesota 24) Mississippi 25) Missouri 26) Montana 27) Nebraska 28) Nevada 29) New Hampshire 30) New Jersey 31) New Mexico 32) New York 33) North Carolina 34) North Dakota 35) Ohio 36) Oklahoma 37) Oregon 38) Pennsylvania 39) Rhode Island 40) South Carolina 41) South Dakota 42) Tennessee 43) Texas 44) Utah 45) Vermont 46) Virginia 47) Washington 48) West Virginia 49) Wisconsin 50) Wyoming

Zip

Telephone Number

Job Title

Supervisor

Reason For Leaving

Date Employed From / To

Hourly Rate / Salary Starting

Hourly Rate / Salary Final

JOB #4

Employer

Address

City

State 1) Alabama 2) Alaska 3) Arizona 4) Arkansas 5) California 6) Colorado 7) Connecticut 8) Delaware 9) Florida 10) Georgia 11) Hawaii 12) Idaho 13) Illinois 14) Indiana 15) Iowa 16) Kansas 17) Kentucky 18) Louisiana 19) Maine 20) Maryland 21) Massachusetts 22) Michigan 23) Minnesota 24) Mississippi 25) Missouri 26) Montana 27) Nebraska 28) Nevada 29) New Hampshire 30) New Jersey 31) New Mexico 32) New York 33) North Carolina 34) North Dakota 35) Ohio 36) Oklahoma 37) Oregon 38) Pennsylvania 39) Rhode Island 40) South Carolina 41) South Dakota 42) Tennessee 43) Texas 44) Utah 45) Vermont 46) Virginia 47) Washington 48) West Virginia 49) Wisconsin 50) Wyoming

Zip

Telephone Number

Job Title

Supervisor

Reason For Leaving

Date Employed From / To

Hourly Rate / Salary Starting

Hourly Rate / Salary Final

We may contact the employers listed above unless you indicate those you do not want us to contact. Please list the employer(s) you do not want us to contact and the reason.

Special Skills and Qualifications (Summarize special job-related skills and qualifications acquired from employment or other experience.)

I understand that this application form is intended for use in evaluating my qualifications for employment, and that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. I also understand that false or misleading statements during the interview, on background documents, and on this form are grounds for terminating the applicant process or, if discovered after employment, terminating employment. I understand, also, that I am required to abide by all rules and regulations of the employer. I authorize the company, and/or its agents, including consumer reporting bureaus, to verify any of this information including, but not limited to, financial and credit history, criminal history background and motor vehicle driving records. I authorize all persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies and law enforcement authorities from liability for any damage whatsoever for issuing this information. Signature & Authorization (Enter in your 9 digit social security number as your authorization and signature to the above)

Social Security Number

Date of Application

Indicates Response Required