Position Applying For:
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Date of Application
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Hw did you learn about this employment opportunity? Check all that apply:
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Name
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First Name
Last Name
Other names under which you have attended school or been employed:
Social Security Number
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Date of Birth
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Home Phone
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Cell Phone
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Have you been employed with us before?
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If yes, when?
If you are under 18 years of age, can you provide proof of eligibility to work?
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Are you currently employed?
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If currently employed, may we contact your present employer?
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If yes, what is the name and phone number to your current supervisor?
Are you eligible to work in the United States?
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On what date would you be available to work?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?
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Are you currently on "lay off" status and subject to recall?
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Have you been convicted of a felony?
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Are you an enrolled member of the Yankton Sioux Tribe?
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Please send Enrollment Verification to swzephier@yanktonsiouxtribe.net
Are you an American Indian married to a Yankton Sioux Tribal member?
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Are you a non-American Indian married to a Yankton Sioux Tribal member?
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Do you have an immediate member of your family working for the tribe?
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If YES, please indicate relationship/program?
If required for position, do you have a valid South Dakota Driver's license?
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If YES, what class?
Do you have reliable transportation?
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Are you physically unable to perform the duties of the job for which you are applying?
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Have you served in the United States Military Service?
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Please send verification to swzephier@yanktonsiouxtribe.net
If yes, was the condition of the discharge Honorable?
List date(s) and branch(s) for all active duty military service, if applicable?
Have you ever had any job-related training in the United States Military?
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If yes, please describe:
Work Experience 1
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Please list all positions you have held in the last 10 years. Begin with your current or most recent employer and work backwards. If you help multiple positions with the same organization, detail each position separately. Email additional information to: swzephier@yanktonsiouxtribe.net. You may exclude disability or other protested status. Account for volunteer commitments, part-time, military, summer positions or unemployment, etc. Check the job announcements for details on the qualifications the Program is seeking. IT IS CRITICAL THAT YOU PROVIDE COMPLETE INFORMATION.
Please include the following:
Dates Employed: Start Date to End Date
Starting Salary:
Final Salary:
Duties & Responsibilities:
Full time or Part-Time
How many hours per week:
Job Title
Supervisors Name
Employer Name, Address, and Phone Number
Reasons for Leaving
Work Experience 2
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Please list all positions you have held in the last 10 years. Begin with your current or most recent employer and work backwards. If you help multiple positions with the same organization, detail each position separately. Email additional information to: swzephier@yanktonsiouxtribe.net. You may exclude disability or other protested status. Account for volunteer commitments, part-time, military, summer positions or unemployment, etc. Check the job announcements for details on the qualifications the Program is seeking. IT IS CRITICAL THAT YOU PROVIDE COMPLETE INFORMATION.
Please include the following:
Dates Employed: Start Date to End Date
Starting Salary:
Final Salary:
Duties & Responsibilities:
Full time or Part-Time
How many hours per week:
Job Title
Supervisors Name
Employer Name, Address, and Phone Number
Reasons for Leaving
Work Experience 3
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Please list all positions you have held in the last 10 years. Begin with your current or most recent employer and work backwards. If you help multiple positions with the same organization, detail each position separately. Email additional information to: swzephier@yanktonsiouxtribe.net. You may exclude disability or other protested status. Account for volunteer commitments, part-time, military, summer positions or unemployment, etc. Check the job announcements for details on the qualifications the Program is seeking. IT IS CRITICAL THAT YOU PROVIDE COMPLETE INFORMATION.
Please include the following:
Dates Employed: Start Date to End Date
Starting Salary:
Final Salary:
Duties & Responsibilities:
Full time or Part-Time
How many hours per week:
Job Title
Supervisors Name
Employer Name, Address, and Phone Number
Reasons for Leaving
Work Experience 4
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Please list all positions you have held in the last 10 years. Begin with your current or most recent employer and work backwards. If you help multiple positions with the same organization, detail each position separately. Email additional information to: swzephier@yanktonsiouxtribe.net. You may exclude disability or other protested status. Account for volunteer commitments, part-time, military, summer positions or unemployment, etc. Check the job announcements for details on the qualifications the Program is seeking. IT IS CRITICAL THAT YOU PROVIDE COMPLETE INFORMATION.
Please include the following:
Dates Employed: Start Date to End Date
Starting Salary:
Final Salary:
Duties & Responsibilities:
Full time or Part-Time
How many hours per week:
Job Title
Supervisors Name
Employer Name, Address, and Phone Number
Reasons for Leaving
List professional trade, business or civic activities. Provide address and telephone number where offices were located:
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Give name, address and telephone number of three (3) references who are not related to you and not previous employers.
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Education
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Please list the following:
High School
College/University
Graduation/Professional
Diploma/Degrees
Describe Course of Study for each
Describe Specialized Training, Apprenticeship Skills and Extra Curricular Activities.
List an Honors received.
Summarize special job-related skills and qualifications acquired from employment or other experiences.
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Update any information you feel may be helpful to add in considering your application.
Applicant Signature
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APPLICANT STATEMENT, SIGNATURE, CERTIFICATION, AND RELEASE OF INFORMATION.
A false statement to any part of your application may be grounds for not employing you or for dismissing you after you begin work. It is my understanding that the Yankton Sioux Tribe will make a thorough investigation of my entire work history and may verify all data given in my application for employment, related papers, or oral interview.
I authorize such investigation of any information requested by the Yankton Sioux Tribe.
I release from liability any person giving our receiving any such information. I understand that falsification of data received or other derogatory information discovered as a result of this investigation may prevent me being hired, or if hired, may subject me to immediate dismissal.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. I certify that, to the best of my knowledge and belief, all my statements are true, correct, complete, and make in good faith.
Applicant Signature Date
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MM
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