Employment Application

By checking the above box, I hereby authorize the Jicarilla Apache Nation to seek employment information and authorize employers listed below to release any information about me that may be sought in connection with the submission of this employment application.
Address, City, State and ZIP
Address, City, State and ZIP
Address, City, State and ZIP
By checking the above box, I hereby acknowledge and understand that there will be a criminal record and background check conducted by the Jicarilla Apache Nation according to the rules and regulations of the Indian Child Protection and Family Violence Prevention Act P.L. 101-360.
Name, phone, relationship (i.e. former supervisor, friend, co-worker, etc.)
Name, phone, relationship (i.e. former supervisor, friend, co-worker, etc.)
Name, phone, relationship (i.e. former supervisor, friend, co-worker, etc.)
By checking the above box, I hereby authorize the Jicarilla Apache Nation to seek information, and request each reference to release any information about me that may be sought in connection with the submission of this employment application.
By typing my name above, I certify that all statements on this application are true and that any falsifications or willful omission shall be sufficient cause for refusal or dismissal of employment.