Nevada > Statewide > Nevada Gaming Commission And State Gaming Contol Board > Enforcement Division
Gaming Control Board Employment Application With Employee Questionnaire - Nevada
| Gaming Control Board Employment Application With Employee Questionnaire Form. This is a Nevada form and can be used in Enforcement Division Nevada Gaming Commission And State Gaming Contol Board Statewide . |
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STATE OF NEVADA GAMING CONTROL BOARD EMPLOYMENT APPLICATION The State Gaming Control Board is an Equal Opportunity Employer INSTRUCTIONS 1. Upon completion, please save this document and email to gcbpers@gcb.nv.gov or mail the application to: State Gaming Control Board, P.O. Box 8003, Carson City, Nevada 89702-8003. If completed by hand, please ensure all information is legible, and use blue or black ink. Do not attach or substitute a résumé in lieu of this application. Failure to complete all sections may result in your application being returned for completion. This may cause considerable delay and may preclude you from exam participation. Your application and all attachments become the property of the Gaming Control Board and cannot be returned. Therefore, original letters such as recommendations or training certificates should not be submitted with your application. LACK OF REQUESTED INFORMATION IS A BASIS FOR REJECTING AN APPLICATION 2. 3. 4. Title of position for which applying: Name: Last First Middle Current resident address: Number Street (P.O. Box) City: State: Zip Code: Current mailing address: Number Street (P.O. Box) City: State: Zip Code: Residence Telephone: BusinessTelephone: MobileTelephone: Fax Number: E-Mail: Can you, after employment, submit verification of your legal right to work permanently in the United States? (Proof will be required) Yes or No Select or Circle Choice Criminal Conviction/Traffic Violations: Have you ever been convicted of: 1. A misdemeanor, gross misdemeanor or felony (excluding juvenile adjudication)? 2. A moving traffic violation within the last five years? Yes or No Select or Circle Choice Yes or No Select or Circle Choice If yes, attach statement giving date(s), time(s), location(s), circumstance(s), and dollar amount of fine(s). Include any conditions of your parole and/or probation, if applicable. Moving traffic violations will only be considered if driving a vehicle is a job requirement. A criminal conviction is not an automatic bar to employment. Each case is considered on its individual merits. The Gaming Control Board is, in some instances, a 24-hour, 7-day-a-week organization. You may be required to work various hours, days, or shifts, including holidays and weekends. Additionally, extensive travel may be required. Yes or No? Would you be willing to work under these employment conditions? Select or Circle Choice The Gaming Control Board has offices throughout the State. Please mark the following geographic area(s) in which you would be willing to work: Carson City Elko Las Vegas Laughlin Reno American LegalNet, Inc. www.FormsWorkFlow.com EDUCATION Elementary/High School: Name of school last attended: School address: City: Number Street (P.O. Box) State: Zip Code: Select highest grade attended: 1 2 3 4 5 6 7 8 9 10 11 12 Did you graduate? Yes or No? Select or Circle Choice If you did not graduate from high school, do you have a certificate? (If "Yes" complete the following.) Yes or No? Select or Circle Choice GED or Other Select or Circle Choice Date Received: If Other, please specify Grade: License/Certificates: Drivers License No: Class: State: Expiration Date: Professional License/Certification/Registration: College or University: (Please attach a copy of your college transcript.) Name of School: School Address: Number Street (P.O. Box) City: State: Zip Code: Date(s) attended: From Month Year To Month Year Did you receive a degree? Yes or No? Degree: Quarters Completed: Year: Select or Circle Choice Semester Credits: Major: Minor: American LegalNet, Inc. www.FormsWorkFlow.com EDUCATION (cont'd) Graduate School: Name of School: School Address: City: Date(s) attended: From To Number Street (P.O. Box) State: Zip Code: Month Year Month Year Did you receive a degree? Yes or No? Type of Degree: Select or Circle Choice Date: Work Taken: Business, Trade, Technical, or Vocational School: Name of school last attended: School address: Number Street (P.O. Box) City: State: Month / Year Zip Code: Date(s) attended: From To Month / Year Class hours per day: Completed: Yes or No? Select or Circle Choice Title of program or classes taken: Special Training List relevant courses, seminars or classes including any P.O.S.T. course(s) Course Title Presented by Dates From To Hours Completed Major Emphasis of Course List professional societies, organizations, memberships and groups that are job related: List computer hardware and software in which you have experience: American LegalNet, Inc. www.FormsWorkFlow.com EMPLOYMENT HISTORY NOTE: Beginning with your most recent employment, please complete the following information. Please provide employment information for the last 10 years. If additional space is needed to list all of your past experience, please use additional paper maintaining the following format. From: To: Month / Year Current or Last Employer: Your Title: Address: City: Phone: Type of Business: Number of employees you supervised: Supervisor: State: Zip Code: Month / Year Gross Annual Salary: Start: $ End: $ May we contact your employer? Yes or No? Select or Circle Choice Full Time? (40 Hours per Week) Part Time? (Hours per week ) Duties: Specific reason for Leaving: From: Month / Year Current or Last Employer: To: Month / Year Your Title: Gross Annual Salary: Start: $ Address: City: State: Zip Code: End: $ Phone: Supervisor: May we contact your employer? Type of Business: Yes or No? Select or Circle Choice Number of employees you supervised: Full Time? (40 Hours per Week) Part Time? (Hours per week ) Duties: Specific reason for Leaving: American LegalNet, Inc. www.FormsWorkFlow.com EMPLOYMENT HISTORY (cont'd) From: To: Month / Year Current or Last Employer: Your Title: Address: City: Phone: Type of Business: Number of employees you supervised: Supervisor: State: Zip Code: Month / Year Gross Annual Salary: Start: $ End: $ May we contact your employer? Yes or No? Select or Circle Choice Full Time? (40 Hours per Week) Part Time? (Hours per week ) Duties: Specific reason for Leaving: From: Month / Year Current or Last Employer: To: Month / Year Your Title: Gross Annual Salary: Start: $ Address: City: State: Zip Code: End: $ Phone: Supervisor: May we contact your employer? Type of Business: Yes or No? Select or Circle Choice Number of employees you supervised: Full Time? (40 Hours per Week) Part Time? (Hours per week ) Duties: Specific reason for Leaving: American LegalNet, Inc. www.FormsWorkFlow.com EMPLOYMENT HISTORY (cont'd) Fro
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