YUROK TRIBE APPLICATION 2013

Charlene LaBrasca
Acting HR Director

482-1350 ext. 1375

clabrasca@yuroktribe.nsn.us

Oscar Gensaw
Recruitment Specialist

482-1350 ext. 1376

ogensaw@yuroktribe.nsn.us

Shawna Sanderson
HR Assistant

482-1350 ext. 1401

ssanderson@yuroktribe.nsn.us



Yurok Tribe
Klamath Office
15900 Hwy 101 N
PO Box 1027
Klamath, CA 95548


Yurok Tribe Employment Application 2013


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You must submit the following: (1) Application for Employment (2) Proof of Tribal Membership if claiming Indian Preference or Spouse of Tribal Member (3) Current drivers license information and (4) Transcripts. We recommend you also include a letter of interest for the position you are applying to, current resume, and letters of recommendation.

All incomplete applications will not be considered.

AD CODE #:_________________(office use only)



(optional)



YesNo



Check Yes or No for each of the following questions. Provide an explanation when necessary.

YesNo




YesNo




Part TimeFull TimeTemporary

YesNo



YesNo




YesNo


(Provide a copy of your tribal I.D. if you are claiming Indian Preference)
Are you claiming spouse of a Yurok Tribal Member? You must submit marriage certificate or notarized statement from the parent and/or family member who accepted payment.

YesNo




YesNo

YesNo

YesNo
(A current motor vehicle report will be required, if driving is necessary for the position.) To be insurable by the Yurok Tribe your driver’s license must have 3 points or less. You will be disqualified if you have more than 3 points within the last five years.

High School Diploma GED

SPECIAL TRAINING-


LICENSES/CERTIFICATES- List any licenses or certificates you have which may help to qualify you for the position for which you are applying such as driver’s license, typing or steno certificates, professional registration, etc.






COLLEGE ATTENDED (PLEASE PROVIDE TRANSCRIPTS):








PROFESSIONAL REFERENCES: Please DO NOT USE FAMILY MEMBERS - provide three (3) non-related contacts:

















WORK HISTORY-list your work experience in order. BEGIN WITH YOUR PRESENT OR MOST RECENT JOB and work backward. Show promotions as separate jobs. Include applicable volunteer and military experience. Attach additional sheets if necessary. All work experience is utilized to determine your qualifications for the position you have applied to. THIS SECTION OF THE APPLICATION MUST BE COMPLETED ENTIRELY. Please do not write “see attached résumé” on application (This will be considered an incomplete application).

(1) Full Time Part Time





YesNo







(2) Full Time Part Time





YesNo







(3) Full Time Part Time





YesNo







(4) Full Time Part Time





YesNo







(5) Full Time Part Time





YesNo






It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the Employer’s service if I have been employed. I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representative for seeking such information and all other corporations or organizations for furnishing such information. The Employer is an equal opportunity employer who exercises’s Indian preference. The employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excluding any applicant’s consideration for employment on a basis prohibited by Yurok Tribal law or federal law. This application is current for only 6 months. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to fill out a new application. Applicants hired by the Yurok Tribe are subject to the Drug and Alcohol Free Work Place Policy including preemployment screening.





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