Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birthdate

MM

DD

YYYY

Status Code

Tribal Member

Married into the Tribe

Other Tribe

Non-Indian

Position Applying for

Select all that apply

Field Technician

Crew Leader

Cultural Technician

Field Director

Principal Investigator

GIS Specialist

Oral History Technician (Must be WS Tribal Member)

Student Internship

Highest Level of Education

High School

GED

Some College

Bachelor's Degree

Graduate Level

Vocational School

Do you have a current and valid driver's license?

*Does not disqualify for employment

Yes, in Oregon

Yes, in another State

No, but I am willing and able to get one

No, and I am not eligible*