Employment Application

Personal Information

Last Name*

Address*

City*

Zip*

First*, MI

,

Day Telephone*

Evening Telephone

State*

Email

Position Desired (1st choice): *

Position Desired (2nd choice):

Position Desired (3rd choice):

Acceptible Shifts: *

 Full Time

 Day

 Part Time

 Swing

 On Call

 Grave

Are you legally able to work in the United States of America in accordance with the Immigration Control & Reform Act of 1986?*

 Yes

 No

Military Status:

Military Branch:

Are you 18 years of age or older?*

 Yes

 No

Have you ever been arrested, detained, charged, indicted or summoned to answer for any criminal offense or violation, except minor traffic violations?*

 Yes

 No

If yes to the above question, please state when, where and deposition:

Have you ever been convicted of a felony?*

 Yes

 No

Have you ever been convicted of a sex offense? (If yes, you must register with the Tonto Apache Law Enforcement per the Adam Walsh Act of 2006.)*

 Yes

 No

Native American Preference

Mazatzal Hotel & Casino extends hiring preference to enrolled Native American Tribal Members.

Are you an enrolled member of a Native American Tribe?*

 Yes

 No

Tribal Affiliation:

Are you related to any employee(s) of Mazatzal Hotel & Casino?*

 Yes

 No

If yes to the above question, please list name(s) & department(s):

Education

Highest Grade Completed: *

1 2 3 4 5 6 7 8 9 10 11 12 Some college College graduate

Did you graduate from high school? *

 Yes

 No

 GED

Name of School & Address (College, Trade, or Other):

City

State

Zip

Course Study:

Degree or Studies:

Name of School & Address (College, Trade, or Other):

City

State

Zip

Course Study:

Degree or Studies:

Name of School & Address (College, Trade, or Other):

City

State

Zip

Course Study:

Degree or Studies:

Employment History

Complete entire application as listed. The amount of experience and the way you describe your experience may determine whether or not you are ruled eligible for employment. Your qualifications will be evaluated largely on the basis of the information provided on this application. List your most recent employment experience. Be accurate and complete. If you wish to elaborate on your experience, a resume may be uploaded, but this section must be completed.

May we contact your present & past employers?*

 Yes

 No

Employer 1

Employer Name

Address

Type of Business

Telephone

Position

Supervisor & Title

Describe Your Job

Reason For Leaving

Employed From (Mo./Yr.)

To (Mo./Yr.)

Employer 2

Employer Name

Address

Type of Business

Telephone

Position

Supervisor & Title

Describe Your Job

Reason For Leaving

Employed From (Mo./Yr.)

To (Mo./Yr.)

Employer 3

Employer Name

Address

Type of Business

Telephone

Position

Supervisor & Title

Describe Your Job

Reason For Leaving

Employed From (Mo./Yr.)

To (Mo./Yr.)

Employer 4

Employer Name

Address

Type of Business

Telephone

Position

Supervisor & Title

Describe Your Job

Reason For Leaving

Employed From (Mo./Yr.)

To (Mo./Yr.)

Resume

Upload Your Resumé

Personal References

List two persons other than a relative or employer willing to provide references.

Reference 1

Name

Address

Phone

Years Known

Occupation

Employer

Reference 2

Name

Address

Phone

Years Known

Occupation

Employer

Read Carefully Before Agreeing

I understand that the information contained in this employment application is accurate and complete. I understand giving incomplete or false information in an application for employment is a serious matter and is grounds for dismissal and forfeiture of related benefits. In connection with this employment inquiry I authorize all corporation, education institutions, persons, law enforcement, military services, federal, state, county, and local government and former employers to release all information they have about me to Mazatzal Hotel & Casino or its agents and I hereby release each and everyone who provides any such information and Mazatzal Hotel & Casino and its subsidiaries and its agents from any and all liability and responsibility for doing so. I further understand that employment can be terminated with or without cause or notice at any time at the option of either the company or employee. I will be an employee at - will, unless different terms are agreed to in writing by the General Manager.

Pre-Employment Consent & Release

The undersigned applicant hereby authorizes Mazatzal Hotel & Casino (hereinafter referred to as "Company") to conduct through its designated physician, medical facility or laboratory testing facility a drug-screening test as a requirement of employment.

In applying for employment, I understand that a urine drug-screening test will be administered as part of the pre-employment process to determine the presence of certain drugs and substances prohibited by Company Policy. I further understand that the presence of any of these drugs or substances will cause my rejection from further consideration for employment.

I agree that test results provided by the Company approved physicians or testing laboratories shall be conclusive and final, and that the test results provided by physicians or testing laboratories not approved by the Company will not be accepted or considered valid.

I understand that refusal to submit to the drug screening test will constitute voluntary withdrawal of my application for employment.

I authorize the results of this urine drug screen to be given to the Company or any of its agents.

I release and hold the Company designated physician, testing laboratory, and medical facility harmless for release of this information. I also release and hold harmless the Company, its directors, officers, stockholders, and employees for the use of this information for employment purposes.

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