Transcription
College Intern Program (CIP) Instructions for ApplyingThe Requirements for participating in College Intern Program are: Must be a current college student; or Students graduating from high school or completing GED in Academic Year 2021/22 andproviding documented intent to attend college in 2022/23 Academic School Year Indian Preference Policy will apply:1. Enrolled Klamath Tribal Member2. Direct descendant of an enrolled member of the Klamath Tribes3. Enrolled member of another federally recognized TribeComplete and submit all the following required documents by close of businessMay 27, 2022 to: PO BOX 436, Chiloquin OR 97624 or Fax 541-783-7802:The Enrollment Verification: Klamath Tribes - Tribal Enrollment Verification form -included inthis packet; orTribal I.D. if enrolled in another federally recognized tribeDocumented verification if claiming Klamath Tribes Descendant: Certificate of Indian Blood.Release of Information Form – Included in this packetTemporary Labor Pool Card – Included in this packetProof of COVID-19 Vaccination or Accommodation formCurrent College students: provide Spring Schedule or unofficial transcripts with name showingAND a copy of a high school diploma showing graduation date or GED certificate ofcompletion.Students graduating from high school or completing GED in current Academic Year: Copy of high school transcripts showing expected graduation date in AY 2021/22; ora GED certificate showing completion in AY 2021/22 Provide documented intent to attend college in the 2022/23 Academic School Year.This can be a FAFSA confirmation or an Acceptance Letter or a 2022 college classschedule, etc.All CIP applicants considered for potential hire MUST clear Background Check that may includeFingerprints; required for some positions. Proof of COVID-19 Vaccination or an approvedaccommodation form, is required for placement into tribal employment positions.To ensure successful application, review and check off the required documents that you havefrom the list above and are submitting to the Education & Employment Department.For application information contact either Sheea Scott or Kathleen Mitchell in the Education &Employment Department at (541) 783-2219 extension 115 or 128 respectively. You can alsoemail inquiries to sheea.scott@klamathtribes.com or kathleen.mitchell@klamathtribes.com.REMEMBER - Submit all documents listed above to the Education & Employment Department.
The Klamath TribesEducation & Employment DepartmentPO Box 436Chiloquin OR 97624Phone: (541) 783-2219FAX: (541) 783-7802College Intern ProgramTRIBAL ENROLLMENT VERIFICATION FORMPlease verify the enrollment of the following student applying for one of the listed servicesindicated below.Adult Basic EducationJohnson O’MalleyAdult Vocational TrainingHigher EducationDirect Employment AssistanceCIPSubmit copy of Klamath Tribes Identification Card, if available, with this form.Name of ApplicantTribal AffiliationDate of Birth Roll Number If KnownApplicant/Parent/Guardian SignatureDate Tribal Office Use Only Below This Line The applicant indicated on this formis /is not an enrolled Klamath Tribes member. TheirKlamath Tribes enrollment number is .Enrollment Officer SignatureDate
Klamath Tribes Education & Employment DepartmentCollege Intern Program (CIP)Privacy and Release of Information StatementThe authority for solicitation of the information on this form is 25 U.S.C. 13 (42 Stat. 208) and P.L.88-230 (77Stat. 471, 25 U.S.C. 309). Disclosure of the requested information by the applicant isvoluntary. The routine use of this information is to evaluate your request and to assist you beforeand during employment. Parts or all of the information in this application may be shared with yourpotential employer or other Tribal Departments if required. The application will be used in a routinemanner by those people involved in financial control who need budgeting information containedin this application.I have read the above statement. I hereby state that all information within this application is trueand accurate. I also authorize the use of such information to the extent of the uses specified inthis statement.Signature of ApplicantDate
Klamath Tribes Labor Pool FormName: Tribal Affiliation: Roll#:Telephone: Message Phone:Email:Mailing Address:Physical Address:Driver’s License # State CDL: Class Expiration Date:Do you have clear driving record? Mode of Transportation?High School or GED (please circle) Date GraduatedFacilityCollege Degree Date CompletedInstitutionList last three employers (may include volunteer work):1. Employer: From mm/yy to mm/yyAddress: Phone #:Reason for Leaving:Supervisor: Job Title:Job duties:2. Employer: From mm/yy to mm/yyAddress: Phone #:Reason for Leaving:Supervisor: Job Title:Job duties:3. Employer: From mm/yy to mm/yyAddress: Phone #:Reason for Leaving:Supervisor: Job Title:Job duties:Office Use OnlyJob Categories in which you have experience:1)2)3)Referred byAdditional CommentsAdditional skills, training or education:Applicant is currently a client of Case Worker tel #Changes/Follow-upApplicant’s Signature:Date
Klamath Tribes Labor Pool FormPlease indicate the number of months and/or years you have worked in the Job Categories listed below.Also mark Yes (Y) or No (N) for job duties performed.OfficeYrs. MoAdministrativeAssistantCustomer ServiceAccountingComputerMultiline PhonesNetwork EnvironmentTypewriterTen-KeyGeneral officeEquipmentRecords ManagementYNatural ResourcesYrs. MoFisheriesLabFish taggingWater TestingEquipmentForest RestorationYNYNLine CookPrep CookSous ChefNutritionistWait StaffCashieringCustodianDish washerHeavy EquipmentYrs. MoDozerNYNDump TruckBack HoeScrapperCraneGraderOther:NJanitorial/Grounds KeeperYrs. MoUse cleaning solutionsFloor buffersSweep/mop/vacuumClean/sanitize intingLawn mowersWeed . loorsWelderRooferLaborerProgramMosCertifications, Licensing, Trainings:Typing wpm Certificate Date:Put expiration date in the space following:Food Handlers OLCC First Aid/CPR EMT CNAFlagger Fire Fighter: Wildland Structural ECDHaz-Mat Hazwhopper CRT Other expName ofTrainingYOther:Chain SawFire FighterOther:Computer SkillsWord ProcessingSpreadsheetsData BasesGraphicsOther:Food ServiceYrs. MoCookLicenseExpiresCertificateHave you been convicted of a felony? yesnoExpiresDegreeYearYrs
ollege Intern Program ( IP) Instructions for Applying The Requirements for participating in College Intern Program are: Must be a current college student; or Students graduating from high school or completing GED in Academic Year 2021/22 and providing documented intent to attend college in 2022/23 Academic School Year
