CreateMultiStep

First Name

Middle Initial

Last Name

Mailing Address

City

State

Zip

Home Phone

Cell Phone

Birthday

Gender

Last Four Digits of Social Security #

Have You Ever Been Convicted Of A Felony?

Have You Ever Been Convicted Of A Misdemeanor?

Have You Ever Been Convicted Of An Ordinance Violation?

Are You Eligible To Work In The United States?

Are you under 18 years of age?

Are you available to work:

If you are under 18 years of age, can you provide required proof of your eligiblity to work?

Forward application to Dept. of Labor to be contacted for more employment and/or training opportunities

Are you able to become lawfully employable in this country? (Proof of citizenship or immigration status will be required upon employment.)

Tribal Affiliation

Enrollment Number

Are you an non-enrolled Parent or Spouse of a Ho-Chunk Nation Enrolled Member?

If yes, list dependent(s) or spouse's enrollment number(s):

Are you a Veteran of the United States Military?

If yes, When:

Release Date

Release Type

If you have used or are otherwise known by another name, list all such names below: (include nickname(s) and maiden names).

Previous Address(s)

Level of Education

School Name

Address

Course of Study

Years Completed

Diploma/Degree

Year Recieved

Employer Name

Employer Address

Employer Telephone Number

May We Contact?

Job Title

Supervisor

Reason For Leaving

Start Date

End Date

Starting Salary

Ending Salary

Work Performed

Include explanation of any gaps in employment:

Describe any specialized training, apprenticeships, skills, and extra-curricular activities:

Describe any job-related training recieved in the United States Military:

List professional, trade, business, or civic activities and offices held. (optional)

Additional Info:

Severity

Type

Year

County

State

Name

Occupation

Phone Number

Best Time To Call?

Applicant Information

Name:

Mailing Address:

Home Phone:

Cell Phone:

Birthday:

Last 4 digits of SSN:

Gender:

Email:

Have You Been Convicted of a Felony?

Have You Been Convicted of a Misdemeanor?

Have You Ever Been Convicted of an Ordinance Violation?

Are You Eligible To Work In The United States?

Education

Level of Education:

School Name:

Address:

Course of Study:

Years Completed:

Diploma/Degree:

Year Recieved:

Work Experience

Employer Name:

Employer Address:

Employer Telephone Number:

May We Contact?:

Job Title:

Supervisor:

Reason For Leaving:

Start Date:

End Date:

Starting Salary:

Ending Salary:

Work Performed:

Violations

Severity:

Type:

Year:

County:

State:

References

Name:

Occupation:

Phone Number:

Best Time To Call?:

Details

Are you under 18 years of age?:

If you are under 18 years of age, can you provide required proof of your eligiblity to work?

Are you able to become lawfully employable in this country?

Are you available to work:

Forward application to Dept. of Labor to be contacted for more employment and/or training opportunities

Preference Information

Tribal Affiliation:

Enrollment Number:

Spouse or Parent:

Dependent or Spouse:

Are You a Veteran:

If yes, When?

Release Date:

Release Type:

Additional Information

Include explanation of any gaps in employment:

Describe any specialized training, apprenticeships, skills, and extra-curricular activities:

Describe any job-related training recieved in the United States Military:

List professional, trade, business, or civic activities and offices held:

Additional Info:

If you have used or are otherwise known by another name, list all such names below:

Previous Addresses:

Please Upload your Tribal ID, if you are an enrolled Tribal Member:

Please Upload proof of Military Service, if you are or have been in the military

Please upload Application, Resume, and Letter of Application

(Note: Please consolidate all required documents into one PDF. Thank you!)

I understand that Section 17, subsection l, of the Ho-Chunk Nation Gaming Ordinance authorizes the issuance of a Provisional Gaming License pending satisfactory completion of the background investigation. I further understand that if allowed to begin employment with the Ho-Chunk Nation in a primary management official or key employee position, I must satisfy all regulatory licensing requirements and standards as required by Section 17 of the Ho-Chunk Nation Gaming Ordinance and should I fail to meet the requirements and standards my position with the Ho-Chunk Nation I may be terminated immediately. See Ho-Chunk Nation Amended and Restated Gaming Ordinance 5HCC § 1.

Click checkbox to agree

New Application

Applicant Information

Name:

Mailing Address:

Home Phone:

Cell Phone:

Birthday:

Last 4 digits of SSN:

Gender:

Email:

Have You Been Convicted of a Felony?

Have You Been Convicted of a Misdemeanor?

Have You Ever Been Convicted of an Ordinance Violation?

Are You Eligible To Work In The United States?

Education

Level of Education:

School Name:

Address:

Course of Study:

Years Completed:

Diploma/Degree:

Year Recieved:

Work Experience

Employer Name:

Employer Address:

Employer Telephone Number:

May We Contact?:

Job Title:

Supervisor:

Reason For Leaving:

Start Date:

End Date:

Starting Salary:

Ending Salary:

Work Performed:

Violations

Severity:

Type:

Year:

County:

State:

References

Name:

Occupation:

Phone Number:

Best Time To Call?:

Details

Are you under 18 years of age?:

If you are under 18 years of age, can you provide required proof of your eligiblity to work?

Are you able to become lawfully employable in this country?

Are you available to work:

Forward application to Dept. of Labor to be contacted for more employment and/or training opportunities

Preference Information

Tribal Affiliation:

Enrollment Number:

Spouse or Parent:

Dependent or Spouse:

Are You a Veteran:

If yes, When?

Release Date:

Release Type:

Additional Information

Include explanation of any gaps in employment:

Describe any specialized training, apprenticeships, skills, and extra-curricular activities:

Describe any job-related training recieved in the United States Military:

List professional, trade, business, or civic activities and offices held:

Additional Info:

If you have used or are otherwise known by another name, list all such names below:

Previous Addresses:

Please Upload your Tribal ID, if you are an enrolled Tribal Member:

Please Upload proof of Military Service, if you are or have been in the military

Please upload Application, Resume, and Letter of Application

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