Join Our Police Force | SAN CARLOS APACHE TRIBE

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Personal Information

1. TITLE OR POSITION FOR WHICH YOU ARE APPLYING *

2. First Name *

Middle

Last

3. MAILING ADDRESS *

4. ARE YOU WORKING FOR THE SAN CARLOS APACHE TRIBE? *YESNO

5. ARE YOU CLAIMING INDIAN PREFERENCE? *YESNO

Indian Tribe and Enrollment Number:

6. DO YOU SPEAK ANY LANGUAGE OTHER THAN ENGLISH?YESNO

Specify:

7. Date of Birth *

8. Social Security Number

Work Authorization & Military Service

9. AUTHORITY TO WORK IN THE U.S. *U.S. CitizenAlien Work Permit Number

Alien Work Permit Number: *

10. MILITARY SERVICE: ARE YOU A VETERAN? *YESNO

DATES AND BRANCH OF SERVICE

11. NAME AND PHONE NUMBER OF PERSONS TO CONTACT REGARDING EMPLOYMENT:

Education & Training

12. NAME AND ADDRESSES OF SCHOOLS ATTENDED

DATES ATTENDED

NUMBER OF SEMESTER HOURS

DATE OF GRAD

CURRICULUM SUBJECTS STUDIED

ADD MORE SCHOOL

NAME AND ADDRESSES OF SCHOOLS ATTENDED

DATES ATTENDED

NUMBER OF SEMESTER HOURS

DATE OF GRAD

CURRICULUM SUBJECTS STUDIED

Skills & Experience

13. NAME OFFICE OR SHOP MACHINES, TOOLS, EQUIPMENT YOU CAN OPERATE

14. OFFICE SKILLS:

SHORTHAND WPM

TYPING WPM

Legal Information

15. HAVE YOU EVER BEEN CONVICTED OF ANY CRIME? *YESNO

ARE YOU CURRENTLY UNDER CHARGES FOR ANY CRIME? *YESNO

EXPLAIN. Include month and year

Driver’s License

16. LICENSE NUMBER:

CLASS:

STATE:

EXPIRES:

References

17. REFERENCES: PLEASE LIST TWO PEOPLE NOT RELATED TO YOU, WHO KNOW YOUR QUALIFICATIONS AND FITNESS FOR THE JOB YOU ARE APPLYING FOR DO NOT USE SUPERVISORS LISTED UNDER EMPLOYMENT HISTORY.

FULL NAME REFERENCE

RESENT BUSINESS OR HOME ADDRESS

TELEPHONE NUMBER

BUSINESS OR OCCUPATION

ADD MORE REFERENCES

FULL NAME REFERENCE

RESENT BUSINESS OR HOME ADDRESS

TELEPHONE NUMBER

BUSINESS OR OCCUPATION

Job Termination History

18. HAVE YOU EVER BEEN FIRED FROM A JOB? *NOYES

PLEASE EXPLAIN

Employment History:

List your past work records, include any interuptions in your work history such as school. Lengthy periods of unemployment, sabbaticals, etc., include self employment and u.S. Military service. Start with present or last position.

19. NAME OF EMPLOYER:

ADDRESS:

DATES OF EMPLOYMENT (FROM):

DATES OF EMPLOYMENT (TO):

NAME/TITLE OF SUPERVISOR:

YOUR TITLE:

HOURS PER WEEK:

DESCRIBE EACH MAJOR FUNCTION/DUTY PERFORMED:

REASONS FOR WANTING TO LEAVE:

20. NAME OF EMPLOYER:

ADDRESS:

DATES OF EMPLOYMENT (FROM):

DATES OF EMPLOYMENT (TO):

NAME/TITLE OF SUPERVISOR:

YOUR TITLE:

HOURS PER WEEK:

DESCRIBE EACH MAJOR FUNCTION/DUTY PERFORMED:

REASONS FOR WANTING TO LEAVE:

21. NAME OF EMPLOYER:

ADDRESS:

DATES OF EMPLOYMENT (FROM):

DATES OF EMPLOYMENT (TO):

NAME/TITLE OF SUPERVISOR:

YOUR TITLE:

HOURS PER WEEK:

DESCRIBE EACH MAJOR FUNCTION/DUTY PERFORMED:

REASONS FOR WANTING TO LEAVE:

CONDITIONS OF EMPLOYMENT

(Please read carefully before signing)

In submitting an application, I understand that false statements may be grounds for not hiring me or for firing me after I begin work. If I am employed I assure the San Carlos Apache Tribe that I am bondable (for positions which require employees to be bonded). I authorize the San Carlos Apache Tribe to investigate all statements on this application and releases from all liability all persons, corporations, schools, or other organizations furnishing information. I further understand that, if employed on a permanent basis, I will be subject to a probationary period as specified in the Tribal Human Resources Policies and Procedures. Incomplete applications will not be considered.

Signature of Applicant *

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Date *

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Authorization Forms

Form 1 Scat application

Form 2&3 Scat DT Consent

Form 4 authorization

Form 5 Child Care Worker

The San Carlos Apache Police Department is the tribal police agency responsible for law enforcement within the jurisdiction of the San Carlos Apache Indian Reservation. The Agency is responsible for about 17,000 tribal members.

Phone

Admin 928-475-1700 or Dispatch 928 475 -22311

Message

Tips 411

Addrress

99 Medicine Way, Peridot, AZ, United States, Arizona

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