PERSONAL INFORMATION

Date Available to Start:

YYYY

Referred By:

Current Trade/Position:

Name:

First Name

Last Name

Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone:

(###)

###

####

Email:

Please list any other name by which you have been known to verify education and work records:

Are you eligible to work in the United States? (If you are hired you will be asked to provide proof of your employtment eligibility)

Yes

Tribal Enrollment:

Are you an enrolled member of the Mashpee Wampanoag Tribe?

Yes

Are you an enrolled member of a Federally Recognized Tribe?

*Please submit supporting documentation in order to receive preference to: TERO Officer Mashpee Wampanoag Tribe 483 Great Neck Road South Mashpee MA, 02649 (p) (508)477-0208 TERO@mwtribe-nsn.gov

Yes

Do you have prior experience working with Tribes or on Tribal projects?

Yes

Are you a Union Member?

Yes

If yes, please identify what Union and if it's local:Text 4

EDUCATION INFORMATION

Schools Attended

Please list the name of the schools you've attended along with the date attended, diploma/degree, major and the city and state the school is in.

Course taken related to desired work:

Current professional licenses/registrations. Give state, branch, certification, & expiration date:

Memberships/activities in associations:

If applicable, list any special skills or qualifications for this work:

EMPLOYMENT/WORK EXPERIENCE

Chronologically list employment and unemployment for the past ten years, beginning with your most recent employment. For each activity, include specific duties, responsibilities, and number of persons supervised.

Employment/Work Experience 1

Employment/Work Experience 2

Employment/Work Experience 3

Employment/Work Experience 4

Employment/Work Experience 5

Are you now employed?

Yes

If yes, may we refer to your employer?

Yes

Salary received last year

Salary Expected

When can you report to work?

YYYY

REFERENCES

Please provide both business and personal references.

Reference 1

Please provide the name, years known, occupation, complete address and phone number for your reference

Is this a business or personal reference?

Business

Personal

Reference 2

Please provide the name, years known, occupation, complete address and phone number for your reference

Is this a business or personal reference?

Business

Personal

Reference 3

Please provide the name, years known, occupation, complete address and phone number for your reference

is this a business or personal reference?

Business

Personal

Reference 4

Please provide the name, years known, occupation, complete address and phone number for your reference

Is this a business or personal reference

Business

Personal

TERO Employment Application