Pre-screening Questionnaire Form
Name
*
First Name
Last Name
Candidate Phone #
*
Format: (000) 000-0000.
Pre-Screening Date
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Which position are you most interested in?
*
What is your availability?
*
Full-Time
Part-Time
Temporary
Are you 18 years of age or older?
*
Yes
No
Are you 21 years of age or older?
*
Yes
No
Do you have any preferences or conflicts that would affect your work schedule if hired?
Please select all days and times you would be available to work.
*
Rows
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon/Evening
Overnight
Have you ever worked for the Choctaw Nation of Oklahoma in any capacity?
*
Yes
No
If yes please list past employment.
Are you a current Choctaw associate?
Yes
No
Why do you want to leave your current department?
Please select all that apply to you.
*
Choctaw Tribal Member
CDIB
Non-CDIB
Parent/Guardian of a Choctaw Tribal Member
Spouse of a Choctaw Tribal Member
Are you related to anyone who works at the Choctaw Nation of Oklahoma?
*
Yes
No
If so who and how are they related
Were you referred by a current CNO associate? If so please list the associates name.
Are there any issues with the your background such as misdemeanors, felonies, warrants, pending charges, and/or alias names we need to be aware of which could prevent the you from being approved to work within the CNO?
*
Yes
No
Please explain:
*
Are you currently employed elsewhere?
*
Yes
No
Company and Position
Dates
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Why are you interested in leaving?
Describe your current Job Duties.
How does your experience relate to the applied position?
*
Are you able to complete and perform the functions of the job (50 - 75lbs lifting requirement, standing, bending and walking for long periods of time)?
*
Yes
No
Are you comfortable with the start rate for this role?
*
Do you have reliable transportation to get to and from work?
*
Yes
No
To support Durant Casino & Resort’s AAA Four Diamond rating, are you comfortable meeting the appearance standards below?: Natural hair colors and no extreme haircuts or styles. No visible facial, dermal, or simulated piercings at work. Visible tattoos must be tasteful, non-distracting, and non-offensive. No visible face tattoos.
*
Yes
No
Please add any additional information you feel is relevant to the position.
Rehire Pre-Screening Questions
Number of times employed by CNO?
Termination 1:
Department:
Position:
Termination Reason:
Dates:
Termination 2:
Department:
Position:
Termination Reason:
Dates:
Termination 3:
Department:
Position:
Termination Reason:
Dates:
Internal Pre-Screening Questions
Point Level:
Current Department and Position:
Number of write ups:
Date and Reason for Write up:
Date and Reason for Write up:
Date and Reason for Write up:
Preview PDF
Submit
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