Wichita - Home Office
(316) 448-0402
Topeka Branch
(785) 448-0402
Striped Highway

Employment

This application will be sent to J. Brian Foster, President's email only.


Application Data

Programs, services and employment are equally available to everyone. Please inform the Human Resources Department if you require reasonable accommodation for the application for interview.

*denotes required field

First Name*
Middle Name
Last Name*
Street Address*
City*
State*
Zip Code*
Phone
Cell / Other Phone
Email
Date Available to Start*
Salary Requirement
If you are under 18 and we required a work permit, can you provide one?*
Yes
No
I'm not under 18
If no, please explain:
Have you ever worked for this company?*
Yes
No
If yes, when?
Are you a citizen of the United States?*
Yes
No
If you are not a citizen, are you legally allowed to work in the US?
Yes
No
Type of employment desired?*
Full-time
Part-time
Temporary
Seasonal
Do you have a valid KS driver license?*
Yes
No
Have you ever plead "guilty", "no contest" or been convicted of a crime?*
Yes
No
If yes, please give dates and details.
Summarize your special skills or qualifications:
Who referred you to us?

Education

High School*
Address
Number of years completed?*
Did you graduate?*
Yes
No
GPA
Class Rank
Name of college / university?
Address
Number of years completed?
Did you graduate?
Yes
No
Degree
Major
GPA
Class Rank
Other Education
Other Education Address
Number of years completed?
Did you graduate?
Yes
No
Degree
Major
GPA
Class Rank

References

Please furnish the names, addresses and telephone numbers of two people to whom you are not related and by whom you have not been employed.

Reference One

Name*
Phone*
Address

Reference Two

Name*
Phone*
Address

Previous Employment

Please begin with your most recent position.

Position One

Start Date (MM/DD-YYYY)
End Date (MM/DD/YYYY)
Position Held
Firm Name
Address
Phone
Supervisor
Title
Responsibilities
Starting Salary
Starting Title
Ending Salary
Ending Title
Reason for Leaving
May we contact this employer for a reference?
Yes
No

Position Two

Start Date (MM/DD-YYYY)
End Date (MM/DD/YYYY)
Position Held
Firm Name
Address
Phone
Supervisor
Title
Responsibilities
Starting Salary
Starting Title
Ending Salary
Ending Title
Reason for Leaving
May we contact this employer for a reference?
Yes
No

Position Three

Start Date (MM/DD-YYYY)
End Date (MM/DD/YYYY)
Position Held
Firm Name
Address
Phone
Supervisor
Title
Responsibilities
Starting Salary
Starting Title
Ending Salary
Ending Title
Reason for Leaving
May we contact this employer for a reference?
Yes
No
I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial or medical history and other related matters as may be necessary for an employment decision. I hereby release employers, schools or persons from all liability when responding to inquiries in connection with my application. In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.*
I Agree

Prefer a paper application?
Email to brian@tcs-ks.com or fax to 316.448.0402.

Download Employment Application

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