Join the Monarch Team | Wichita, Kansas

DATE OF APPLICATION*

POSITION(S) APPLYING FOR:*

HOW DID YOU HEAR ABOUT THIS POSITION?*

CURRENT EMPLOYEE NAME*

Name*

First Middle Last

ADDRESS*

Street Address Address Line 2 City State ZIP Code

PHONE NUMBER*

ALTERNATE PHONE NUMBER

EMAIL ADDRESS*

Employment Experience

Start with your most current job. Include military service assignments. Please include all employment listed on your resume.

Employer 1

EMPLOYER*

JOB TITLE*

PHONE*

ADDRESS*

Street Address

SUPERVISOR*

DATE STARTED*

DATE ENDED*

WORK DUTIES*

REASON FOR LEAVING*

Employer 2

EMPLOYER

JOB TITLE

PHONE

ADDRESS

Street Address

SUPERVISOR

DATE STARTED

DATE ENDED

WORK DUTIES

REASON FOR LEAVING

Employer 3

EMPLOYER

JOB TITLE

PHONE

ADDRESS

Street Address

SUPERVISOR

DATE STARTED

DATE ENDED

WORK DUTIES

REASON FOR LEAVING

References

NAME*

First Last

PHONE*

EMAIL

ADDRESS

Street Address

OCCUPATION

YEARS KNOWN

Reference 2

NAME*

First Last

PHONE*

EMAIL

ADDRESS

Street Address

OCCUPATION

YEARS KNOWN

Applicant's Statement

I certify that the answers given herein are true and complete. I expressly authorize, without reservation investigation of all references, work records, education, driving records, criminal background, and other matters related to my suitability for employment. I further authorize the employer references I have listed to disclose to the company any and all documents, transcripts, letters, reports, and other information without giving me prior notice of such disclosure. I hereby release the company, my former employers, and all other persons from any and all claims, demands, or liabilities arising out of our investigation or disclosures made.

If offered a position with the company, I hereby agree to cooperate with all required pre-placement tests and examinations.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that any employment relationship with the company may discharge an employee at any time with or without cause. It is further understood that this "at-will" employment relationship may not be changed by any written document or by conduct unless such a charge is specifically acknowledged in writing by an authorized executive of the company.

In the event of employment, I understand that false or misleading information given in my application, other pre-employment forms, interview(s), and any other of The Monarch documents may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

I understand and agree that the company's acceptance of this job application does not mean that a position is open or that the company has agreed to hire me. The company is under no obligation to hire me by accepting this completed application. I understand that nothing contained herein or in any other publication or statement specifies or implies an agreement for any specific period of employment and I understand that all employment with The Monarch is "at-will".

Policy Statements

EQUAL OPPORTUNITY STATEMENT

- The Monarch is an Equal Opportunity and Affirmative Action Employer. All personnel actions are effected without regard to race, color, sexual orientation, gender identity, age, religion, national origin, genetic information, pregnancy, disability, veteran status, or other protected status, or other protected status pursuant to law. As a responsible organization, we resolutely support the concepts and practices of Equal Employment Opportunity and Affirmative Action. The company will make all reasonable efforts to accommodate those physical or mental limitations of an otherwise qualified applicant or employee.

HARASSMENT AND DISCRIMINATION POLICY STATEMENT

- This company will not tolerate any form of unlawful discrimination or harassment. Any employee who engages in discrimination or harassment will be subjected to discipline up to and including termination.