4 Bears Casino and Lodge
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Personal Information
*First Name
*Last Name:
*Middle Name:
*Social Security Number:
*Date of Birth:
Tribal Segment (not required)
*Application Date:
*Street Address:
*City
*State
*Zip
*Home Phone
*Email address

POSITION INFORMATION
*Positions Applying For:
*Date avalable for work:
*Are you available to work:
*Are you entitled to Indian Preference:
If yes, please enter tribal verification:
If other than Native American, please identify your nationality (not required)
*Have you ever been convicted of a felony?
If yes, please explain and provide date of conviction:
*Have you ever been employed with our casino?
Applicants who are rehires are responsible for paying thier own alcohol/drug test.
*Have you ever worked at another casino?
If yes, please state casino and position held:
*Do you have any close family relatives currently working in the casino?
If yes, please indicate their name, position and department they work in:

REFERENCE #1
*Name:
*Address:
*City
*State:
*Zip:
*Phone:
*Occupation:
*Number of years known:

REFERENCE #2
*Name:
*Address:
*City
*State:
*Zip:
*Phone:
*Occupation:
*Number of years known:

REFERENCE #3
*Name:
*Address:
*City
*State:
*Zip:
*Phone:
*Occupation:
*Number of years known:

EDUCATION
*Elementary School, Address, City State
*Year completed
*High School, Address, City State
*Year completed
*Graduate
College, Address, City State
Year completed
Graduate
Course of Study:
Graduate/Professional, Address, City State
Year completed
Graduate
Course of Study:

EMPLOYMENT HISTORY
*Employer #1
Most recent 1st
*Dates From
*Dates To    
*Work Performed
*Address:
*City
*State:
*Zip:
*Phone:
*Job Title:        Salary:
*Supervisor:
*Reason for Leaving:

 
*Employer #2
Most recent 1st
*Dates From
*Dates To    
*Work Performed
*Address:
*City
*State:
*Zip:
*Phone:
*Job Title:        Salary:
*Supervisor:
*Reason for Leaving:

 
*Employer #3
Most recent 1st
*Dates From
*Dates To    
*Work Performed
*Address:
*City
*State:
*Zip:
*Phone:
*Job Title:        Salary:
*Supervisor:
*Reason for Leaving:
 
4 Bears Casino & Lodge / 202 Frontage Road / New Town, ND / 4 Miles West of New Town, ND
Information Line: 888-4BEARS7 or 1-800-294-5454
Hours: Friday - Saturday: Open 24 hours / Sunday - Thursday: 8:00 am to 4:00 am
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