824 111th Drive
Horton, KS 66439
Phone: (785) 486-2131
Fax: (785) 486-2801


Employment Application Form

To apply for any of the above openings, please fill out the form below:

The Tribal Employment Rights Ordinance of the Kickapoo Tribe in Kansas Indian Preference Policy will be utilized as follows: Kansas Kickapoo Tribal Members, other enrolled members of Native American Tribes, followed by all other applicants who meet minimum qualifications.

All fields are required unless noted.

    Applicant Information

    Full Name:
  • Address:
  • Phone:
  • Email:
  • Yes No
  • Tribal Affiliation

  • Yes No
  • If you are claiming Native American Preference, please complete the following:

  • Yes No

  • Positions of Interest

  • Level of Education

  • References

    Please list two professional references.

  • Employment History – (List current or most recent employment first.)

  • Yes No

  • Yes No

  • Yes No
  • Military Service

  • Yes No
  • Disclaimer and Signature

    I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Incomplete applications WILL NOT be processed until the applicant provides the necessary information.