ST. CROIX CHIPPEWA
HEALTH & HUMAN SERVICES
APPLICATION FOR EMPLOYMENT
St. Croix Chippewa Enterprises does extend preference in hiring to enrolled St. Croix Tribal Members & all other Tribal Members.
Are you a Native American?
Have you ever been employed with any St. Croix Chippewa Enterprise before?
Are you currently employed?
May we contact your employer?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
(Proof of citizenship or immigration status will be required upon employment.)
Are you currently on “Layoff” status and subject to recall?
Can you travel if a job requires it?
Have you ever been arrested for a felony?
Have you ever been convicted of a felony?
Have you ever been arrested for a drug or theft related misdemeanor?
Have you ever been convicted of a drug or theft related misdemeanor?
IF YOU ARE OFFERED A POSITION YOU WILL BE REQUIRED TO DO THE FOLLOWING
BEFORE YOU CAN BE HIRED:
1. Provide a current photo ID, Social Security card and Birth Certificate or documentation that you are legally authorized to work in the United States.
2. Take a pre-employment drug screening test.
3. Undergo T.B. testing which is mandatory for all new hires of the food service department.
Post High School Education
Post High School Education 2
Check Skills/Equipment Operated
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.
Maximum upload size: 52.43MB
I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be
necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed 90 days. Any
application wishing to be considered for employment beyond this time period should inquire as to whether
or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any
employment relationship with this organization is of an “at will” nature, which means that the employee
may resign at any time and the employer may discharge the employee at any time with or without cause.
It is further understood that this “at will” employment relationship may not be changed by any written
document or by conduct unless such change is specifically acknowledged in writing by an authorized
executive of this organization.
In the event of employment, I understand that false or misleading information given in my application
or interview(s) may result in discharge. I also understand that I am required to abide by all rules and
regulations of the employer.
Native American preference given in accordance with P.L. 93-638 and Amendments.
(Please Sign Below. Please Note, Date Submitted Will Be Used As "Date Signed" For This Section)