Employment Application Form - McGrath Native Village Council

Employment Applicant Information

Full Name

Address

Phone

Driver's License

Desired Salary

Date Available

Position Applied for:

If no, are you authorized to work in the U.S.?

Have you ever worked for MNVC?

If worked, when?

Have you ever been convicted of a felony?

If convicted, explain:

Education

High School:

Address

From:

To:

Diploma:

College:

College Address

From:

To:

Degree:

Other:

Address:

From:

To:

Degree

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Previous Employment

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason for Leaving

Previous Employment

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason for Leaving

Previous Employment

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason for Leaving

Previous Employment

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason for Leaving

Licenses/Certificates/Machinery Use & Repair

List professional licenses, certificates and/or registrations that would be pertinent to the job for which you are applying for:

List any professional trade, or business activities and offices held pertinent to the job for which you are applying?

Licenses/Certificates/Machinery Use & Repair

List the machinery or equipment, specific to this position, which you are qualified to:

Operate

Repair

Military Service

Branch

From

Rank at Discharge

Type of Discharge

If other than honorable, explain:

References: Please list two professional references that are not related to you.

Full Name

Company

Phone

Address

References

Full Name

Company

Phone

Address

Essential Job Questions

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
I authorize MNVC to investigate any of the facts described in this application and I release MNVC from any
liability resulting from such an investigation.

Signature

Date