Employee Application
Last 4 numbers of your SSN:
Salutation:
v
*First Name:
Middle Initial:
*Last Name:
Nickname:
Address:
* City:
* State:
v
* Zip:
*Home Phone:
Enter only numbers, area code first:
Cell Phone:
Enter only numbers, area code first:
Other Phone:
Enter only numbers, area code first:
Email:
In case of emergency, notify name:
Emergency Phone:
Enter only numbers, area code first:
Check if you are legally authorized to work in the United States:
* How did you hear of us:
v
 
* What position are you applying for:
Date available for work:
v
Minimum rate per hour:
Days you are available to work full-time:
 
What shifts you are available to work:
Preferred Shift:
What times are you available to work from:
   
To:
   
Checking the below boxes indicates YES:  
Do you have transportation:
Will you accept a same day assignment:
Will you accept a long term assignment:
Are you available part-time:
Are you available full-time:
Are you available temp-hire:
Are you available direct-hire:
 
City 
Yes 
East
Kansas City, MO
Maryville, MO
Metro
NE Wichita
North
NW Wichita
SE Wichita
South
SW Wichita
West
Wichita

Skill Title 
Yes 
[Collapse]Skill Set: 0001 MACHINE SHOP
 CNC Machinist
 Plasma Cutter
 Laser Cutter
 Milling Operator
 Router
 Lathe Operator
 CNC Programmer
 Turret Operator
 Hydro Press
 Punch Press
[Collapse]Skill Set: 0011 MACHINE SHOP
 Drill Press
 Brake Press
 Stamp Press
 Deburr
 Bat Wing
 Skin Stretch
[Collapse]Skill Set: 0021 MISC
 Meat Packing/Cutter
 Upholstery
 Embroidery
 Material Handler
 Grain Elevator
 Lumber
 Recycling
 Plastics
 Automotive
 Sanatation
[Collapse]Skill Set: 0031 MISC
 Hazardous Material
 Powder Coating
 Composites
 Style Crest
 Sheet Metal
 Aviation
 Handforming
 Sealers
 Blue Prints
[Collapse]Skill Set: 0041 TOOLS
 Drills
 Rivet Gun
 Grinders
 Squeeze Set
 Countersinks
 Calipers
 Micrometers
 Basic Hand Tools

Enter as much information as you can. More details will help us better serve you.

Previous Employment #1

Dates of employment: From: To:
v
v
Name of employer:
Address:
City, State, Zip:
v
Phone:
Supervisor:
Job Position:
Pay per hour:
Reason for leaving:

Previous Employment #2

Dates of employment: From: To:
v
v
Name of employer:
Address:
City, State, Zip:
v
Phone:
Supervisor:
Job Position:
Pay per hour:
Reason for leaving:
   

Previous Employment #3

Dates of employment: From: To:
v
v
Name of employer:
Address:
City, State, Zip:
v
Phone:
Supervisor:
Job Position:
Pay per hour:
Reason for leaving:

Previous Employment #4

Dates of employment: From: To:
v
v
Name of employer:
Address:
City, State, Zip:
v
Phone:
Supervisor:
Job Position:
Pay per hour:
Reason for leaving:
 

Temporary Employment

FIRM # 1

FIRM # 2

Firm name:
Address:
City, State, Zip:
v
Please list at which clients you were placed, job category, and to whom you reported. Please share your thoughts on the agency and your assignment:
Firm name:
Address:
City, State, Zip:
v
Please list at which clients you were placed, job category, and to whom you reported. Please share your thoughts on the agency and your assignment:
 

High School Education

Name of high school:
High school degree:
High school diploma/certificate:

Business or Other Education

Name of school/program:
School/program degree:
School/program diploma/certificate:

College Education

Name of college:
College degree:
College diploma/certificate:
               
      I certify that the information on this application is true and factual
  


Submit Your Application


Please CLICK 'SUBMIT YOUR APPLICATION' ONLY ONCE . Depending on your connection speed it may take a few seconds for your computer to cycle to the next screen. Please be patient, the system is processing the application. If you click this button more than once you run the risk of submitting multiple applications.