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WPE Application
Applicant Information
Name
First
Middle Inital
Last
Current Date
(Required)
MM slash DD slash YYYY
Email
(Required)
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
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Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
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Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Country
Phone
(Required)
Alternative Phone
Date Avaliable
MM slash DD slash YYYY
Position Applied For
Are you willing to work
Full Time
Part Time
Temporary
Weekends
Evenings
Nights
Select All
Are you a U.S. Citizen
(Required)
Yes
No
If no, are you authorized to work in the U.S.?
(Required)
Yes
No
Have you ever worked for this company?
(Required)
Yes
No
If so, when?
Education
High School
What years did you attend High School?
Did you graduate High School?
Yes
No
College
What years did you attend College?
Did you graduate College?
Yes
No
Other
What years did you attend ?
Did you graduate?
Yes
No
Previous Employment
Company
Address
Street Address
City
State / Province / Region
Phone
Job Title
Supervisor
Responsibilities
Starting Salary
Ending Salary
List the jobs you held, duties performed, skills used or learned
Reason for Leaving
May we contact your previous supervisor for a reference?
Yes
No
Company
Address
Street Address
City
State / Province / Region
Phone
Job Title
Supervisor
Responsibilities
Starting Salary
Ending Salary
List the jobs you held, duties performed, skills used or learned
Reason for Leaving
May we contact your previous supervisor for a reference?
Yes
No
Company
Address
Street Address
City
State / Province / Region
Phone
Job Title
Supervisor
Responsibilities
Starting Salary
Ending Salary
List the jobs you held, duties performed, skills used or learned
References
Please list three professional references (Do not include relatives)
Name
First
Last
Company
Relationship
Address
Street Address
City
State / Province / Region
Phone
Name
First
Last
Company
Relationship
Address
Street Address
City
State / Province / Region
Phone
Name
First
Last
Company
Relationship
Address
Street Address
City
State / Province / Region
Phone
General
Please mark the box that most closely describes your skill level with the following (if the position you are applying for does not require use of these items, you may skip this section):
10-Key
No Experience
Beginner
Intermediate
Advanced
Copier
No Experience
Beginner
Intermediate
Advanced
Fax
No Experience
Beginner
Intermediate
Advanced
Computers
No Experience
Beginner
Intermediate
Advanced
Word
No Experience
Beginner
Intermediate
Advanced
Excel
No Experience
Beginner
Intermediate
Advanced
Powerpoint
No Experience
Beginner
Intermediate
Advanced
Publisher
No Experience
Beginner
Intermediate
Advanced
Access
No Experience
Beginner
Intermediate
Advanced
Please list any other skills/software packages in which you are proficient:
With regard to the position you are applying for, please list any other equipment you can operate, skills you have, or duties you have performed that would be beneficial (for example: MIG or TIG welding, Auto CAD, etc.):
Referral Source
Referral Source
Advertisement
Referral
Word of Mouth
Social Media
Website
How did you hear about us?
Consent
(Required)
I agree
PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY
In consideration of my employment, I agree to conform to the policies and procedures of the company. I understand that in accepting this application, the company is in no way obligated to provide me with employment and that I am not obligated to accept employment if offered. Furthermore, if employed, I understand that I am
employed at will and that my employment and compensation can be terminated with or without cause and with or without notice at any time. I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any falsified statements on this application or omission of fact on either this application or during the pre-employment process will result in my application being rejected, or, if I am hired, in my employment being terminated. I also understand that any offer of employment is conditioned on the completion of pre-employment tests and documents. I will upon request, sign all necessary consent forms. I hereby authorize the company to request information including but not limited to my previous employment, educational verification, social security verification and other information bearing on my character, general reputation, personal and professional characteristics, and trustworthiness. I hereby release the company, its agents and all entities providing information about me from any and all liability arising out of the requests. Western Plains Energy, LLC. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or discharge history, or any other characteristic protected by law. If you need assistance to complete this application, interview, or employment process, please notify the Human
Resources Manager at (785) 672-8810 or visit the office located at 3022 County Road 18 in Oakley, Kansas.