Application Information
Name Cox, Christopher M Primary Phone +1-360-***-**** [Cell]
Secondary Phone +1-360-***-**** [Other] Date of Application 04-28-2023 Application ID 650496 Applied to WATERFRONT AT POTLATCH Email Address ********@*****.*** Address 1051 NE Belfair Manor Dr City, State/Province,
Zip/Postal Code,
Country
Belfair, WA, 98528, USA County WA
Referral Source Other Referral Name None
Driver's License
Number
WDLBPTP2J23B Driver's License State Washington
Driver's License
Country
UNITED STATES License Expiration Date 08-20-2027
Education
Institution CK High School High,High
School,Silverdale, WA, USA
Institution Phone
Number
(n/a)
Dates Attended (n/a) Attended As (n/a)
Major/Minor (n/a) Degree (n/a)
GPA 3.12 Graduated Yes
Employment
Employer Little Creek Casino, 95 W State Route
108, Shelton, WA, 98584, USA
Employer Phone
Number
Dates of Employment 04/15/2022 To Present
1 Year 13 Days
Job Title / Pay Rate Security Officer OIC
$22.10/wk
Job Duties Security of the Casino, Hotel,Golf
Course and all associated Tribal lands
Can Contact? Yes
(Ron Hawley)
Reason for Leaving (n/a) Current Employer Yes
Employer All Star Lanes and Casino, Silverdale
WA 98383, Silverdale, WA, 98383,
USA
Employer Phone
Number
Dates of Employment 03/15/2021 To Present
2 Years 1 Month 13 Days
Job Title / Pay Rate Surveillance Security Officer Lead
$20.50/wk
Job Duties Surveillance and security of all
finance, property, personnel and
patrons
Can Contact? Yes
(Tom Myers)
WATERFRONT AT POTLATCH
Payroll Profile: 0IA23 Application for Skokomish Park-Security Officer - 650496 Generated: (4/28/2023 5:24 PM) Page: 1 of 4
Reason for Leaving (n/a) Current Employer Yes
Employer USPS, 60 ne Ridgepoint Blvd, Belfair,
WA, 98528, USA
Employer Phone
Number
Dates of Employment 01/09/2000 To Present
23 Years 3 Months 19 Days
Job Title / Pay Rate Supervisor Carrier
$28.12/wk
Job Duties Overseeing and delivery of all letters
and parcels and Supervision of
employees
Can Contact? Yes
(Teresa Cox)
Reason for Leaving (n/a) Current Employer Yes
References
Name Phil Grey Company Grey Chevrolet
Title Owner Relationship Friend
Email Address ********@********.*** Time Known 15 years 3 months Phone +1-360-***-****
Name Susan Cox Company Retired
Title Not Applicable Relationship Friend of family Email Address *********@*****.*** Time Known 18 years 6 months Phone +1-360-***-****
Name Cheyenne Smith Company Little Creek Casino
Title Security Officer OIC Relationship Friend
Email Address ***************@*****.*** Time Known 1 years 6 months Phone +1-360-***-****
Questions
Question Group 1
Are you over the age of 18? Yes
Are you able to read, write, speak, and understand English? Yes Are you authorized to work in the United States? Yes Are you willing to complete a pre-hire drug screening? Yes WATERFRONT AT POTLATCH
Payroll Profile: 0IA23 Application for Skokomish Park-Security Officer - 650496 Generated: (4/28/2023 5:24 PM) Page: 2 of 4
Are you willing to complete a pre-hire background screening? Yes Question Group 2
Do you have a flexible work schedule? Yes
Are you willing to work nights, weekends and Holidays Yes Do you have reliable transportation? Yes
As a condition of employment, I understand and agree that I must be fully vaccinated for Covid-19 by the first day of employment, OR request a reasonable accommodation for a medical condition or an exemption due to known religious beliefs and practices 14 days prior to the first day of employment. Please do not include any vaccination verification information in your applicant profile, cover letter, or resume.
Yes
Are you a Skokomish Tribal member? No
Are you a decedent of a Skokomish Tribal Member? No Are you Skokomish Tribal Community Member? No
Are you an enrolled member of a Federally Recognized Tribe? No If yes, list your enrollment #:
Do you have a valid driver's license? Yes
Did you serve in the U.S. Armed Forces? No
Have you ever been convicted of a felony? No
Have you ever been convicted of a misdemeanor? No
Are you on probation for either of the above? No
If yes, please elaborate.
Have you ever been employed by Twin Totems Convenience and Deli? No Have you ever been employed by Lucky Dog Casino? No Have you ever been employed by the Waterfront at Potlatch or Skokomish Park? No Do you have family members currently employed by Lucky Dog Casino or other SITE Enterprises?
No
If yes, please provide name(s) of relatives?
Statement
PREFERENCE
Indian Preference applies to positions with SITE: First preference will be given to qualified, enrolled Skokomish Tribal members; Second Preference will be given to qualified Native American applicants who provide proof of enrollment with a Federally Recognized Tribe; Third Preference will be given to Non-Indian. Applicants not entitled to, or who fail to claim Indian Preference, WATERFRONT AT POTLATCH
Payroll Profile: 0IA23 Application for Skokomish Park-Security Officer - 650496 Generated: (4/28/2023 5:24 PM) Page: 3 of 4
will receive consideration without regard to ethnic/national origin, marital status, sexual orientation, religion, disability status, or membership in the tribal organization.
DRUG FREE WORKPLACE
The Skokomish Indian Tribal Enterprises are committed to providing quality work and service by providing a healthy, safe, drug-free workplace for its employees, Tribal Council members, and the community for which it serves. To achieve this goal, final applicants for employment will be tested for illegal drugs and alcohol after receiving a conditional job offer. SIGN AND DATE
All answers and statements are true and complete to the best of my knowledge. Furthermore, I hereby give the Skokomish Indian Tribal Enterprises permission to verify all information and references on this application. I understand that misrepresentation or omission of facts called herein will be sufficient cause for cancellation of consideration for employments or dismissal from the organization if I have been employed.
Acknowledged
Yes
Signature
Christopher Cox [04/28/2023]
WATERFRONT AT POTLATCH
Payroll Profile: 0IA23 Application for Skokomish Park-Security Officer - 650496 Generated: (4/28/2023 5:24 PM) Page: 4 of 4