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Wichita - Home Office

(316) 448-0402

Topeka Branch

(785) 448-0402

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

"*" indicates required fields


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
MM slash DD slash YYYY
If you are under 18 and we required a work permit, can you provide one?*
Have you ever worked for this company?*
Are you a citizen of the United States?*
If you are not a citizen, are you legally allowed to work in the US?
Type of employment desired?*
Do you have a valid KS driver license?*
Have you ever plead "guilty", "no contest" or been convicted of a crime?*


Did you graduate?*
Did you graduate?
Did you graduate?


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
Reference Two


Please begin with your most recent position.
Position One
May we contact this employer for a reference?*
Position Two
May we contact this employer for a reference?
Position Three
May we contact this employer for a reference?
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.*
MM slash DD slash YYYY

Prefer a paper application?
Email to or fax to 316.448.0404.

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