Application for Employment

1 Personal Information

2 Employment Desired

3 Education and Training

4 Employment History

5 Employment Agreement

First Choice for Employment Desired
Second Choice for Employment Desired
If part time, specify days/hours you can work:
Salary Desired
Date you can start
State any additional information relating to skills, qualifications, computer knowledge, you feel may be helpful to us in considering your application.
Do you have any physical handicaps that preclude you from performing certain kinds of work?*
- Yes
- No
Please describe work limitations
List names and relationship of any relatives now working for us and in what capacity:
Have you been convicted of a crime in the past 10 years, excluding misdemeanors and summary offenses?*
- Yes
- No
Describe in full

Is this your first job?
- Yes
- No
Are you employed by Quinault Indian Nation or Quinault Nation Enterprises currently or in the past?
- Yes
- No
In what capacity, and (if applicable) why you are no longer employed?
Employment History
Begin with your last job. If do not want us to contact an employer listed below, please write DO NO CONTACT on the line for Reason For Leaving and include your reason for leaving. Please fill out this part completely, include all information pertinent to the position(s) for which you are applying. Do not write, “see resume” as in incomplete application packet may disqualify you from further consideration.
Last/Current Job
Employer
Phone
Supervisor
Address
Street Address Address Line 2 City State ZIP Code
Salary
Job Title
From
To
Reason for Leaving
Job Duties
Job 2
Employer
Phone
Supervisor
Address
Street Address Address Line 2 City State ZIP Code
Salary
Job Title
From
To
Reason for Leaving
Job Duties
Job 3
Employer
Phone
Supervisor
Address
Street Address Address Line 2 City State ZIP Code
Salary
Job Title
From
To
Reason for Leaving
Job Duties
References
List three (3) persons who have definite knowledge of your skills and qualifications as related to the position for which you are applying. Please do not include relatives, former employers or supervisors already listed on this application form. These individuals will be contacted by QNEB Personnel Staff.
Reference 1 Name
Reference 1 Address
Reference 1 Phone
Reference 2 Name
Reference 2 Address
Reference 2 Phone
Reference 3 Name
Reference 3 Address
Reference 3 Phone

Employment Agreement
I hereby affirm that all answers and statements contained in this application form are true and complete to the best of my knowledge. I authorize the Quinault Enterprises to officially investigate any statements. I understand that any misrepresentation or omission of material facts is cause for dismissal from employment or cancellation of my application. I agree to complete all papers and examinations as may be required for the job for which I am applying. I understand that if I am hired, my employment is subject to the Quinault Enterprise(s) Personnel Policies and Procedures Manual. Quinault Indian Nation and Quinault Enterprise(s) are a Drug Free Workplace.
Date*
Full Name*
By typing your full name, you are deeming your submission digitally signed.
CAPTCHA
Name
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High School

Colleges/Professional/Trade School

Seminars/Workshops

Military Service Record

Employment History

Last/Current Job

Job 2

Job 3

References

Employment Agreement