13-13-102. APPLICATION FORMS.

1. The following notice shall be placed on the application form for a key employee or a primary management official. In compliance with the Privacy Act of 1974, the following information is provided: Solicitation of the information on this form is authorized by 25 U.S.C. 2701 et seq. The purpose of the requested information is to determine the eligibility of individuals to be employed in a gaming operation. The information will be used by the Tribe and the National Indian Gaming Commission members and staff who have need for the information in the performance of their official duties. The information may be disclosed to appropriate Federal, Tribal, State, local, or foreign law enforcement and regulatory agencies when relevant to civil, criminal or regulatory investigations or prosecutions or when necessary pursuant to a requirement by a Tribe or the National Indian Gaming Commission in connection with the hiring or firing of an employee, the issuance or revocation of a gaming license, or investigation of activities while associated with a Tribe or a gaming operation. Failure to consent to the disclosures indicated in this notice will result in a Tribe being unable to hire you in a primary management official or key employee position. The disclosure of your Social Security Number (SSN) is voluntary. However, failure to supply a SSN may result in errors in processing your application.
2. The following additional notice shall be placed on the application form for key employee or a primary official: “A false statement on any part of your application may be grounds for not hiring you, or for firing you after you begin work”. Also, you may be punished by fine or imprisonment (U.S. Code, Title 18, Section 1001).
3. The Commission shall notify in writing existing key employees and primary management officials who have not completed an application containing the notices set forth above that they shall either:
   1. Complete a new application form that contains both the Privacy Act and false statement notices; or
   2. Sign a statement that contains the Privacy Act and false statement notices and consent to the routine uses described in that notice.
4. The Tribe may charge a license fee, to be set by the Tribal Gaming Commission to cover its expenses in investigating and licensing Key Employees and Primary Management Officials of the gaming operation.