Graceful Employment Application 2026
Language
  • English (US)
  • Español
  • Preferred contact method*

  • Position & Availability

  • Positions*
  • Employment Type*
  • Preferred Shifts*

  • Earliest start date*
     - -

  • Education & Licenses

  • Skills

  • Browse Files
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  • Work History

    You may upload your resume instead of completing full employment history.
  • Add Another Employer?

  • References

  • Emergency contact

  • Legal & Worker’s Compensation Questions

  • Have you ever received Worker’s Compensation for a job-related injury?*
  • What was the date of your injury
     - -
  • Are you legally handicapped?*
  • Are you a Vietnam Era Veteran?*
  • Are you a disabled veteran*

  • Kansas Criminal Record Check – Required Information

  • Are you eligible to work in the U.S.?*
  • Do you give your consent for a background check?*
  • Date of birth*
     - -
  • Gender

  • Race/Ethnicity
  • Do you give your consent to Drug testing*
  • Have you ever been convicted of any criminal offense that has not been expunged, or are you currently facing criminal charges?*

  • Criminal History Disclaimer
    A prior criminal conviction does not automatically disqualify you from employment.
    Each applicant is evaluated individually in accordance with applicable state and federal laws.
    Convictions will be considered only as they relate to the specific duties of the position sought and to compliance with KDADS, Medicaid, and other licensing requirements.
    Falsifying or omitting information on this application may be grounds for disqualification or termination if hired.

  • Date*
     - -
  • Should be Empty: