EMPLOYMENT APPLICATION Lower Sioux Indian Community An Equal Opportunity Employer with Native American Preference A Drug-Free Workplace

PERSONAL Name (Last, First, Middle Initial) Social Security Number Home Phone Number

( ) Cell Phone Number

( ) Street Address City State Zip Code

Previous Address City State Zip Code

Are you at least 18 years old?

YES NOAre you at least 16 years old?

YES NOPosition Desired How did you hear about the position for which you are applying? Which type of work will you accept?

FULL-TIME PART-TIME SEASONALWhich hours and days are you available to work? Will you work any shift as assigned?

YES NO

Are you available to work overtime, weekends and holidays?

YES NOHave you previously held a job at Jackpot Junction Casino Hotel or any other Lower Sioux Entity?

YES NO If YES, which position and when?

If currently employed, why do you want to change your position?

Salary/Wage Desired

$ _______________ PER HOUR PER YEAR

When are you available to begin working? May we contact your present employer?

YES NO

NATIVE AMERICANS Are you entitled to Native American Preference?

YES NO

If YES, name and location of Tribe: Are you a non-Native American family member of a Lower Sioux enrolled member? YES NO

Are you enrolled in a federally recognized Tribe?

YES NO

If YES, place of enrollment: If applicable, enrollment number:

EDUCATION & OTHER SKILLS TRAINING Names of High School, Business School,

Technical School and/or College Attended Major If You Graduated, Degree/Certificate Received

If You Did Not Graduate, Last Grade Completed / Credit Hrs. Earned

Date Received & Reviewed:

Jackpot Junction Casino Hotel Extends Preference in Hiring to Native Americans

REV. 9/8/2017

Are you a veteran of the United States Armed Forces?

YES NO If YES, branch and dates served:

Have you ever been convicted of, or are you currently being prosecuted for, a felony?

YES NO If YES, explain:

Company Name & Address Company Phone Number

( ) Mo./Yr. Hired

/ Mo./Yr. Left

/ Job Title & Brief Description of Duties

Supervisor’s Name

Reason for Leaving

Company Name & Address Company Phone Number

( ) Mo./Yr. Hired

/ Mo./Yr. Left

/ Job Title & Brief Description of Duties

Supervisor’s Name

Reason for Leaving

Company Name & Address Company Phone Number

( ) Mo./Yr. Hired

/ Mo./Yr. Left

/ Job Title & Brief Description of Duties

Supervisor’s Name

Reason for Leaving

EMPLOYMENT HISTORY List your complete past employment record, starting with your most recent employer. Include military experience, if applicable. If you need more space, attach an additional sheet or résumé .

APPLICANT AGREEMENT

1. I certify that the statements and information that I have furnished in this application are true and correct, and I understand that falsification of such statements or information will result in withdrawal of the employment offer or immediate dismissal.

2. I authorize the investigation of my personal and employment background, including an FBI background check, BCA background check, local courts check, credit check and DMV check. I also understand that, if hired, checks can/will be performed annually.

3. I authorize the investigation of all statements contained herein. I also authorize the references listed above and on my Personal History Statement to provide to the Lower Sioux Indian Community businesses all information concerning my previous employment and any pertinent information they may have. I release all parties from liability for any damage that may occur as a result of furnishing the aforementioned information.

4. In consideration of my employment, I agree to conform to the rules, regulations and policies of the Lower Sioux Indian Community businesses. 5. I understand and agree that, if hired, my employment is not guaranteed for any set period of time and may be terminated at any point without prior notice and without cause, regardless of the date of

payment of my wages or salary. 6. In accepting employment, I agree to be available for any hours scheduled. Schedules are subject to change at any time. 7. I recognize that all records, documents, materials, lists, drawings, books, programs and all other property of the Company made or received by me remain the exclusive property of the Company. 8. I understand that, before I can be formally hired by any Lower Sioux Indian Community-owned business, I will be required to take a test to screen for the presence of drugs and/or alcohol. I also

understand that the testing process will be observed by an individual of the same gender as my own. By signing this application, I consent to take the drug and alcohol test when requested. If the test results are positive, I understand that:

a. I will not be hired; b. I will not be considered for any other jobs at any other Lower Sioux Indian Community-owned business for a period of 12 months; c. The test results will be entered into a database which is accessible to all Lower Sioux Indian Community-owned businesses for a period of 2 years.

9. Jackpot Junction Casino Hotel reserves the right to withdraw a job offer at any time during the employment and orientation process.

SIGNATURE: __________________________________________________________ DATE: ______________________________________

REV. 9/8/2017

YOUR ROLE AS A JACKPOT JUNCTION TEAM MEMBER

Thank you for taking the time to complete a Jackpot Junction Casino Hotel employment application. We are excited that you have shown interest in becoming a member of our team!

All Team Members at Jackpot Junction Casino Hotel are part of the entertainment industry. Each of us has the responsibility of showing our Guests a good time by creating an atmosphere that is safe, friendly and fun! Some of our Team Members work in job positions which place them in direct contact with or Guests on a daily basis. Others have jobs that take place behind the scenes. Being a pleasant, outgoing “people person” is a very important part of all of our employment opportunities. Our Guests and your fellow Team Members expect and deserve this type of treatment.

First impressions are lasting impressions. It is important that your personal appearance and hygiene always give our Guests and other Team Members the best possible impression. No matter how elaborate our facilities may be, our Guests and other Team Members will judge you based on their first impression. Therefore, it is your responsibility to create a favorable image. As you are considering employment with Jackpot Junction Casino Hotel, please be aware of the following Team Member appearance expectations:

UNIFORMS - Team Members may be required to wear a company-provided uniform. Uniforms must be worn according to company standards (i.e. pressed, buttoned, etc.).

CLOTHING - Clothing must comply with the requirements of the position and should be clean, pressed and in good repair. Jeans, leggings and yoga pants are not permitted. With the exception of Special Events and Dacotah Ridge team members, capris and shorts are not permitted. Skirts must be knee-length or longer. Proper undergarments must be worn at all times.

FOOTWEAR - Footwear must be suitable for the position and should be clean, polished and in good repair. Open-toed shoes are not permitted.

HAIR - Hair must be neatly trimmed, combed and held in place. Hair must be worn in a manner that will not block vision or cover ID Badge. Facial hair must be neatly trimmed and maintained; avoid beard stubble.

NAILS - Nails must be clean and neatly trimmed. If used, nail polish should be well-maintained.

COLOGNE/PERFUME - If worn, should be subtle and used in moderation.

HYGIENE - Personal hygiene and cleanliness, including bathing, teeth care and use of a personal deodorant, should be addressed daily.

Weekend and holiday work schedules are normal for all Team Members. It is typical to be required to work evenings, weekends and holidays at Jackpot Junction Casino Hotel. It is imperative that you are at work when scheduled in order to maintain total Guest satisfaction and smooth business operations. It is important that each Team Member has a dependable way of getting to and from work each day.

As you look at our job posting board, you will see that the starting pay rate is listed for each available opening. Team Members receive pay reviews based on the expectations outlined in the job description for their respective positions. If you feel that you are able to meet these expectations, please continue with the application process.

I understand that Guests of Jackpot Junction Casino Hotel must be served in a manner that is fun, friendly and safe. I can and will comply with the expectations outlined in “Your Role as a Jackpot Junction Team Member”. Furthermore, I understand that my agreement to these expectations does not constitute a job offer at this time.

SIGNATURE: __________________________________________________________ DATE: ______________________________________

REV. 9/8/2017