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) *
Current Physical Street Address *
Apartment / Unit / Suite #
State / Province / Region *
Postal / Zip Code *
How Long at This Address? * Less Than 1 Year1 Year2 Years3 Years4 Years5 or More Years
State / Province / Region
Postal / Zip Code
Street Address *
Zip / Postal Code *
Employment Desired? * Select All That ApplyFull TimePart TimeOn-CallAny
Shifts Available? * Select All That ApplyDaySwingGraveAny
Your Age * Over 18 But Under 21Over 21
Have you ever applied for a job at Casino Pauma? * NoYes
If Yes, When?
Have you ever worked for Casino Pauma? * NoYes
Do you relatives that currently work at Casino Pauma? * NoYes
If Yes, Name and Position?
Have you ever been convicted of a felony? * NoYes
If Yes, Explain Offense, Date of Offense and Location
Do you have the legal right to live and work in the United States? * YesNo
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.
Employer Phone Number
Dates (from when to when)?
Reason for Leaving?
Additional Employment History
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 *
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 *
Graduated? * YesNoGED
Name of School
Address of School
Major / Course of Study
Highest Level Degree Attained Not Applicable / NoneCertificationAssociate‘s DegreeBachelor’s DegreeMaster’s DegreeDoctorate
Additional degrees, certifications, or relevant information about your education
Military Branch NoneNavyMarinesAir ForceArmyCoast Guard
Length of Service
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 *
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? NoYes
If Yes, Please Provide Enrollment Number
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. *
1 + 0 = ? Please prove that you are human by solving the equation *
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