Deloycheet,
Inc. & the Holy Cross Tribal Council are working together
to track job skills of Shareholders, Tribe Members, and Holy
Cross residents in order to notify and place qualified applicants
in future jobs. We need your personal and job related infomation.
Instructions: Please fill out the form below as correctly
as possible. You will not have an opportunity to correct any
of it once it is submitted. If you have any corrections, please
call the Shareholder Services Department of Deloycheet at:
(907) 476-7177, direct or 1-800-478-7177,
Toll Free.
Or
you can e-mail our Shareholder Services Department at: shareholders@deloycheet.com
|
| Your
Shareholder Information |
| Deloycheet
Shareholder Status: |
|
| Holy Cross
Tribal Member: |
|
| Have you ever received a scholarship from Deloycheet? |
|
| |
| Your
Personal Information |
| First
Name: |
|
| Middle
Name: |
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| Last
Name: |
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| Address: |
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| City: |
|
| State: |
|
| Zipcode: |
|
| Phone: |
|
| Cell
Phone: |
|
| Email: |
|
| Birth
Date: |
(MM/DD/YY) |
| AK
Driver's License: |
|
| Passport: |
|
| |
| Specialized
Certifications You Hold |
| *Please
leave fields blank if you do not have a specialized certification. |
| Current
Certifications: |
| Cert
1: |
|
| Cert
2: |
|
| Cert
3: |
|
| Cert
4: |
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| Cert
5: |
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| |
| Diplomas
& Degrees You Hold |
| *Please
leave fields blank if you do not have a diploma or degree. |
| Secondary
Education: |
|
| College/Technical
Diploma 1: |
|
| College/Technical
Diploma 2: |
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| College/Technical
Diploma 3: |
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| |
| Profession
& Skill Categories |
| *You
must fill these out and choose what best suits your job related
skills. |
| Profession
Type: |
|
| Skill
Type: |
|
| Manager
Experience: |
|
| |
| |
| You
will need to furnish us with current work experience information.
Please use the boxes below. |
| Past
Education & Schools |
*Please
use this as an example:
Holy Cross High School, Holy Cross,
Alaska - Class of 1990 |
| School
1: |
|
| School
2: |
|
| School
3: |
|
| School
4: |
|
| School
5: |
|
| |
| Work
Experience (Please start with most current employment) |
*Please
use this as an example:
Construction Engineer, State of Alaska,
Anchorage, Alaska - Employed: 1992-2007 |
| Work
Experience 1: |
|
| Work
Experience 2: |
|
| Work
Experience 3: |
|
| Work
Experience 4: |
|
| Work
Experience 5: |
|
| Job
Skills |
| Please
summarize your skills in paragraph form: |
|
| |
|
|
