Hoopa Valley Tribe Job Application Employment Application Step 1 of 3 – About You 33% Contact InformationName(Required) First Last Present Mailing Address(Required) Address/PO Box City State / Province / Region ZIP / Postal Code Phone Number(Required)Emergency ContactEnter the name and phone number of a person to contact in case of an emergency.NamePhone Number Add RemoveLegal InformationSocial Security Number Is Indian preference requested?Please make a selectionYesNoAttach Membership CardMax. file size: 128 MB.Are you over 18?(Required)Please make a selectionYesNoAre you legally eligible for employment in the U.S.?(Required)Please make a selectionYesNoDo you have a valid CA driver's license?Please make a selectionYesNoClassPlease make a selectionABCLicense Number Additional EndorsementsList any additional endorsements on your driver’s license Employment InformationDate available for employment MM slash DD slash YYYY Looking forSelect the work types you are looking for Full Time Part Time Regular Employment Temporary Employment Select AllEducation HistoryEnter your school/training background. Enter a new row for each school, and as many rows as you need.Kind of SchoolSchool NameLocationDate StartedDate LeftCourses Taken Add RemoveEmployment HistoryEnter your employment history. Enter a new row for each employer, and as many rows as you need.Employer NameLocationTelephoneDate StartedDate LeftPrimary DutyImmediate SupervisorReason For Leaving Add RemoveAdditional SkillsAre there other Experiences, Skills or Qualifications, which you feel would especially suit you for work with the Hoopa Valley Tribe?ReferencesEnter at least three references. Enter a new row for each reference, and as many rows as you need.NameTitleCompanyType of BusinessPhone NumberYears Known Add Remove Position Applying For(Required) Department(Required) Salary Desired(Required) Is this a child care position?(Required)Is the position you are applying for in the Child Care Field? If yes, please complete the supplemental questionnaire.Please make a selectionYesNoWould you have a family member as a supervisor?(Required)Are you aware of an immediate family member working as a supervisor of the department you are applying for?Please make a selectionYesNoFamily Member's Name Family Member's Relationship Have you applied before?(Required)Have you ever applied for work with the Hoopa Valley Tribe before?Please make a selectionYesNoGive dates and departments(Required)DateDepartment Add Remove PLEASE READ THIS CAREFULLY BEFORE SUBMITTING Your application will be given every consideration, but our receipt of it does not guarantee that you will be employed. Indian preference will be given consistent with the Tribal TERO Ordinance and the Indian Self Determination, Education and Assistance Act. The Hoopa Valley Tribal Council is an equal employment opportunity employer and considers all applicants on the basis of job qualification and without regard to race, color religions, sex, national origin, age, disability or genetics.Certification of accuracyI certify that all statements made by me on this application are true, complete and correct to the best of my knowledge. I hereby grant permission to the Hoopa Valley Tribal Council and its personnel to confirm by personal inquiry or otherwise, the information I have given in the employment process. I understand that any willful misrepresentation of facts given in this process is grounds for rejection of the application or dismissal of employed. I release all persons connected with any requests for information from all claims, liability, and damages for whatever reason arising out of furnishing the information. I understand that if hired, such employment is conditioned upon a favorable pre‐employment evaluation. I confirm the above
