Application Form

Personal Info

First name

Last name

Birthday

Month

Day

Year

Phone

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Employment and Education Information

Position

Are you a member of The Moapa Band of Paiutes

Yes, I am a member of The Moapa Band of Paiutes

No, I am a member of another tribe

No, I am not a member of any tribe

Please write three (3) employment history reports for the past ten (10) years, beginning with the most recent. You must account for any gaps in employment.

Please add: start date, end date, reason for leaving, position, contact information, business name, and supervisors.

Education

Please provide three (3) references including their telephone numbers.

Do you consent to a background check?

By selecting "Yes," you consent to receiving additional information from the Human Resources Department regarding the background check process. A detailed email will be sent to the address provided in your application, outlining the next steps and required documents.

Please note that your personal information will be handled with the utmost confidentiality and security. The background check is a standard part of the application process and is conducted in compliance with all applicable laws.

Signature of Applicant

Application Form

Personal Info

Employment and Education Information

Back to home