Community Health Representative at Stillaguamish Tribe of Indians

First Name *

Last Name

Email *

Phone *

Resume *

Desired rate of pay? *

Type of work desired *

Full Time
Part Time

What days and hours are you available to work? *

How did you hear about the position?

Referred by

Department

Are you 21 years of age or more? *

Have you ever been employed by the Stillaguamish Tribe? *

If yes, what position and when?

If offered the position, when would you be able to start? *

If hired, can you provide identification which establishes your legal right to work in the U.S.? *

In accordance with Title 25 of the United States Code section 472 regarding Indian Preference, please check one of the following: * Documentation required *

If hired for a position which requires the operation of a Stillaguamish vehicle, can you provide a valid and current Washington State Driver’s License and a motor vehicles department record? *

Have you ever been arrested or convicted of a felony crime?

If you answered yes to the above question, explain below. Please note dates and dispositions. A yes answer will not necessarily disqualify you from employment.

Most recent employer *

Job title *

Job Duties *

Dates of employment *

Reason for leaving *

Second Employer

Job Title (second employer)

Job Duties (second employer)

Dates of Employment (second employer)

Reason for leaving (second employer)

See all the jobs at Stillaguamish Tribe of Indians here: http://stillaguamish.recruiterbox.com/jobs

Application Form