Due to the nature of our business, you must be able to work nights, weekends and holidays.
Initial here to verify that you have read and understand this requirement.
Are you legally eligible to work in the United States?
Yes
No
Alien Reg. No.
Drug testing is a requirement for employment.
Initial here to verify that you have read and understand this requirement.
Have you worked for Leech Lake Gaming before?
No
Yes
Last Day Worked
Casino
Department
EDUCATION: Check all that apply.
Some High School
High School/GED
Some College
Technical School Degree
Associate's Degree
Bachelor's Degree
Master's Degree
Some Graduate School
Doctorate
MD, DDS, JD
Post Doctorate
TRAINING: List any additonal training you have received.
Course Title
School Name
Course Date
Course Title
School Name
Course Date
Course Title
School Name
Course Date
EXPERIENCE: Describe your employment history.
Employer
Start Date
End Date
Address
City
State
Zip Code
Phone Number
Your Job Title
Hours Worked Per Week
Duties
Reason for leaving
May we contact your current employer?
Yes
No
Employer
Start Date
End Date
Address
City
State
Zip Code
Phone Number
Your Job Title
Hours Worked Per Week
Duties
Reason for leaving
Employer
Start Date
End Date
Address
City
State
Zip Code
Phone Number
Your Job Title
Hours Worked Per Week
Duties
Reason for leaving
ADDITIONAL INFORMATION
Special skills
Community activities
Volunteer activities
ETHNICITY: Check all that apply.
Hispanic
Caucasian
African American
Asian/Pacific Islander
American Indian, if so, please check the tribal enrollment
Leech Lake
Minnesota Chippewa Tribe
Tribal Affiliation
Other American Indian
Tribal Affiliation
If you are enrolled in a federally recognized tribe, what is your tribal identification/enrollment number?
(Enrollment will be verified)
If you are not enrolled, do you have a parent who is eligible for enrollment in a federally recognized tribe?
No
Yes
Parent Name
Tribal Affiliation
Do you intend to apply for tribal enrollment?
Yes
No
DISABILITY STATUS
Do you consider yourself to have any of the following disabilities or medical conditons?
No
Yes
Mobility impairment
Visual impairment
Hearing impairment
Learning disability
Mental/emotional illness
Development disability
Other (please specify)
Do you have lifting restrictions?
No
Yes
If yes, explain
IMPORTANT: Read the following statement very carefully and be sure to sign this application.
I certify that all the information I provide on this application is true and complete to the best of my knowledge. I understand that giving false information could result in rejection of my application or dismissal if I am hired.
I authorize the Leech Lake Gaming Human Resources Department to verify this information to determine my qualifications for the position(s) for which I am applying.
I hereby authorize all current and previous employers to release job-related information upon request of the Leech Lake Gaming Human Resources Department.
