Thank you for your interest in sharing your talents at The Mill Casino • Hotel.

The Mill Casino • Hotel is an Equal Opportunity Employer; we do not discriminate on the basis of age, race, creed, color, sex, religion, disability, marital status, sexual orientation, veteran or other protected status. Native Americans preference is given within the organization.

Once you have completed this Employment Application, click "submit". Or, you can print it out and bring it in to The Mill Casino • Hotel.
Personal Data
* Required questions must be answered
* Last Name:
* First Name:
Middle Name:
* Address line 1:
Address line 2:
* City:
* State:
* Zip Code:
* Telephone:
(including area code)
Email:
Social Security #:
* Do you have documentation showing that you are eligible to work in the US? Yes
No
* Are you associated with a Native American tribe? Coquille Tribal Member
Coquille Tribal Member Spouse
Other Native American
No, I am not associated with a Native American tribe
* Do you have any relatives employed at The Mill Casino • Hotel or other related entities? Yes
No
If YES, give names and relationship:
Employment Interests
* Position applying for:
* Date Available:
Salary Requirements:
* If applying for a gaming position, are you over 21 years of age? Yes
No
* If applying for a non-gaming position, are you over 18 years of age? Yes
No
Are you available to work:
Days
Swing
Graveyard
Weekends
Overtime
Holidays
Position is:

Full Time
Part Time
On Call

* Have you ever worked at this company? Yes
No
Position:
Employment Dates:
How did you hear about job vacancies?
Referred by (if applicable):
Education
Name of High School
City, State
Did you graduate from high school? Yes
No
Area of Concentration
Special Skills

Name of College or Technical College
City, State
Did you graduate from
college or technical college?
Yes
No
What degree did you receive?
Area of Concentration
Special Skills

Name of Certificate
or License Institution
City, State
Did you graduate from certification or licensing? Yes      No
What certificate or license did you receive?
Area of Concentration
Special Skills

Are you in school now? Yes      No
Do you plan to continue your education? Yes      No
Background Information
* Have you ever been convicted of a crime, other than a minor traffic violation? Yes
No

If YES, please include date, circumstances and whether it was a misdemeanor or felony:
Have you ever served
in the Armed Forces?
Yes
No
References
Please list 3 references (references will be checked).
* Name
Years Known
Address
* Telephone
(including area code)

* Name
Years Known
Address
* Telephone
(including area code)

* Name
Years Known
Address
* Telephone
(including area code)
Employment History
Please show present and past employment including any relevant volunteer or part-time employment and beginning with most current.
* Do you have previous work experience? Yes      No
Employer
Address
Telephone
(including area code)
Job Title
Employed from
Employed to
Starting Hourly Rate/Salary
Final Hourly Rate/Salary
Job Responsibilities
Supervisor's Name
Supervisor's Title
Reason for leaving

Employer
Address
Telephone
(including area code)
Job Title
Employed from
Employed to
Starting Hourly Rate/Salary
Final Hourly Rate/Salary
Job Responsibilities
Supervisor's Name
Supervisor's Title
Reason for leaving
Employer
Address
Telephone
(including area code)
Job Title
Employed from
Employed to
Starting Hourly Rate/Salary
Final Hourly Rate/Salary
Job Responsibilities
Supervisor's Name
Supervisor's Title
Reason for leaving

Employer
Address
Telephone
(including area code)
Job Title
Employed from
Employed to
Starting Hourly Rate/Salary
Final Hourly Rate/Salary
Job Responsibilities
Supervisor's Name
Supervisor's Title
Reason for leaving

* Is this a complete representation
of all jobs you have had
during the past five years?
Yes
No
* Certificate of Applicant
(please read carefully)
YES,
I attest and certify that the information contained on this application is complete and accurate to the best of my knowledge. If I become employed at The Mill Casino • Hotel, I understand that my misrepresentation of information provided on this application is cause for termination of employment and that The Mill Casino • Hotel retains the right to terminate an employee on these grounds. All candidates must pass drug screen testing and security clearance as a condition of employment. I understand further, that as a part of this application process, The Mill Casino • Hotel intends to contact my prior employers to obtain information regarding my work-related performance and conduct. I authorize my prior employers (and their agents) to provide this information to The Mill Casino • Hotel, and I agree to hold them harmless and release them from any claims for providing this information to The Mill Casino • Hotel.

* Required questions must be answered