Authorization to Release Information
Having made application for a position with Tolowa Dee-ni’ Nation / Lucky 7 Casino (TDN / L7C), I wish them to
be informed as to my previous record and character, to determine my qualifications and suitability for the
position. For this specific purpose, I hereby authorize the release and full disclosure of any and all information
that you may have concerning me, including information of a confidential or privileged nature. Such information
is to be released to any duly authorized agent of TDN / L7C, upon presentation of this waiver, or a photocopy of
this waiver, whether in person, by mail, fax, or other method of conveyance.
This release is valid for a period of six (6) months from the date of my signature. A photocopy of this waiver is to
be considered as valid as an original of my signature.
Examples of types of information I am requesting that you provide include, but are limited to: Dates of
employment, job title, dependability, honesty, attitude towards the job, interactions with fellow employees,
reason for leaving, education records, and/or other such information you may have concerning my qualifications
and suitability. I hereby release you as the custodian of such record, and any law enforcement agency, criminal
justice agency, school, college, university, or other educational institution, including officers, agents, employees,
related personnel, both individually and collectively, from any and all liability for damage for whatever kind,
which may at any time result to me, my heirs, family or associates, because of compliance with this
authorization and request to release information, or any attempt to comply with it.
Equal Employment Opportunity / Indian Preference
We are an equal employment employer and do not unlawfully discriminate in employment. No question on this
application is used for the purpose of limiting or excluding any applicant from consideration for employment on
a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is available
to all persons. Those applicants requiring reasonable accommodations on the application and/or during the
interview process should notify the Human Resources Department immediately. In accordance with the Tolowa
Dee-ni’ Nation / Lucky 7 Casino Employee Handbook, priority in the selection process will be given to qualified
applicants who present proof of eligibility for Indian Preference.
TDN / L7C Applicant Procedures
Please follow the guidelines listed below when filling out your application:
1. Complete the Application for Employment in its entirety, providing detailed and accurate information:
include area codes with phone numbers, city, state, and zip codes with addresses, particularly on the
Employment History section. Incomplete applications are not accepted.
2. Return the completed application, any copies and/or originals supporting documents (resumes,
certificates, licenses) to the Human Resources Department at Lucky 7 Casino, 350 N. Indian Road, Smith
River, CA 95567, or to The Tolowa Dee-ni’ Nation, 140 Rowdy Creek Road, Smith River, CA 95567 by
either post or hand delivered.
3. Any offer of employment will be contingent upon the satisfactory completion of a drug test, background
check where applicable, and compliance with the requirements of the Immigration and Control Act of
Background Checks / Investigations
Tolowa Dee-ni’ Nation / Lucky 7 Casino (TDN / L7C) reserves the right to use any method of investigation which,
in its sole discretion it deems reasonable and necessary to determine whether any employee is suitable for
employment with TDN / L7C. These investigations may include criminal, department of motor vehicle and credit
background checks. By signing this application, you agree that as a condition of employment, if hired, to
cooperate in any such investigation. As a condition of employment, you agree to voluntarily cooperate in
consenting and submitting any urine, blood or hair test requested by TDN / L7C, to enforce its drug and alcohol
policy. You agree to recognize that any refusal to cooperate in such tests would be grounds to terminate any
offer of employment.
Confidentiality of Information
Tolowa Dee-ni’ Nation / Lucky 7 Casino make every effort to assure protection of any personal information
provided on employment documents.