Employment Application

Application Statement

My prior employers, education institutions and other references listed on this application are authorized to give the Confederated Tribes of Siletz Indians of Oregon (CTSI) any and all information concerning my previous employment and any pertinent information they may have.

I certify that to the best of my knowledge, all of my statements are true, correct, complete and made in good faith. I further understand that this application is not and is not intended to be a contract of employment nor does this application obligate the employer in any way if the employer decides to employ me.

I authorize my current and previous employers to provide any and all information regarding my employment, and I release CTSI, its officers, agents and employees and my previous and current employers and their officers, agents, and employees from any and all liability and from any damage that may result from the release of such information. I agree to execute any additional forms requested by CTSI or my former employers.

I understand that any oral or written statement that is false, fraudulent or misleading that is contained in this application or attached materials, or made in the course of any related employment process, whether made by me or by others at my request, will result in rejection of my application, denial of employment, or dismissal from service if discovered after employment.

• I certify under the penalty of perjury that all statements contained herein are true and complete 
• I understand that I must prove that I am authorized to work in the United States if I am hired. 
• I authorize the employing agency to verify the employment and education information provided on this employment application. 
• I agree to supply a three-year driving record at my cost and I understand I may be required to show proof of automobile insurance if the position I am applying for requires driving of any GSA or Tribal vehicle. 
• I agree to undergo pre-employment drug screening. If hired, I understand that continued compliance with all CTSI’s rules and policies, including CTSI’s Drug Free Workplace policy, is a condition of Employment. 
• I consent to a criminal background check. In addition, I understand that if the position I am applying for involves regular contact with, control over, Indian children, federal law requires an investigation into whether I meet minimum standards of character and I may be asked to execute any additional releases to make that inquiry.