This form is for the benefit of our applicants wishing for employemt through Kansas Memories & The Mission Theatre.

New Address Information
*Name
*Address
*City
*State
*Zip
-
*e-mail Address
*Phone
Additional Phone
Additional Phone
Best Time to Contact

Employment Information
*Desired Position (1)
*Experience Level (1)
*Desired Position (2)
*Experience Level (2)
*Availability
*Current Work Status
*Desired Number of Hours Per Week
*Desired Pay Per Hour
Comments:

WE WILL SEND NOTIFICATION OF RECEIPT OF THIS APPLICATION WITHIN 24 HOURS, MONDAY-FRIDAY.
IF YOU DO NOT RECEIVE THIS NOTICE PLEASE CONTACT US.

I certify that I am complete with this application.*
I am not complete with this application. I understand it will not be submitted until I complete the application at a later time.

WE WILL SEND NOTIFICATION OF RECEIPT OF THIS APPLICATION WITHIN 24 HOURS, MONDAY-FRIDAY.
IF YOU DO NOT RECEIVE THIS NOTICE PLEASE CONTACT US.