☰ Menu
Apply for CNA/CMA Adjunct Instructor (Certified Nursing Assistant/Certified Medical Assistant)

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:CNA/CMA Adjunct Instructor (Certified Nursing Assistant/Certified Medical Assistant)
ID:1811
Department:Allied Health
Type:Adjunct Faculty
Location:Pioneer Career Center - Leavenworth, KS.
Posting:09/02/2025
Closing (Initial Screening occurs after this date):POOL
Open Until Filled:Yes
Resume
* Resume:
Supported formats: Word, PDF, RTF, Text, and HTML.
  - or Upload from:
 
Contact Information
* First Name:
Provide legal given name.
Middle Initial:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip Code:
* Mobile Phone:
Use dashes: 000-00-0000
* Email:
Attachments
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
Other documents, e.g. certifications, licensure, transcripts, etc. :
  - or Upload from:
 
ADJ - CNA/CMA
* Do you currently hold a Kansas Practical Nurse (LPN) or Registered Nurse (RN) license that is active, unencumbered, and free of pending or current disciplinary actions?

PLEASE NOTE: Only applicants with an active, unencumbered LPN or RN license and no disciplinary actions are eligible.
YES, I hold a current Kansas LPN license that is active and unencumbered.
YES, I hold a current Kansas RN license that is active and unencumbered.
I hold a current LPN or RN license from another state that is active and unencumbered.
I do not currently meet this requirement.
* How many years of licensed nursing experience do you have as an LPN or RN?
2-4 years
4-8 years
8-12 years
12+ years
I do not currently meet this requirement
Which of the following best describes how you meet the long-term care experience/training requirement?
I have at least 1,750 hours of experience as a licensed nurse in a long-term care setting (e.g., adult care home, long-term care unit of a hospital, or a state institution for individuals with intellectual or developmental disabilities).
I have completed at least 7 hours of professional continuing education in “Person Centered Care for the Adult Care Home” within the last year.
I meet both of the above options.
I do not meet either of the above.
Which of the following best describes how you meet the supervision or adult education requirement?
I have experience supervising nurse aides.
I have experience teaching adults.
I have completed a course in teaching adults.
I have completed professional continuing education in supervision or adult education.
I do not meet any of the above.
Employment Eligibility
PERSONAL INFORMATION
Yes   No
Yes   No
Yes   No
General Questions
GENERAL INFORMATION

See KCKCC’s Nepotism policy for the definition of a relative and additional information.

Application for Employment
EDUCATION

Detail your education, starting from your highest level of education.

School 1

Yes   No

School 2

Yes   No

School 3

Yes   No

School 4

Yes   No

School 5

Yes   No
EMPLOYMENT HISTORY

Start with current employment and list in descending order. Do not leave blanks or state "see resume".

Employer 1

*
*
*
*
*
*
*
*
*
*
Yes   No
*
*

Employer 2

Yes   No

Employer 3

Yes   No

Employer 4

Yes   No

Employer 5

Yes   No
REFERENCES

List three professional references.

Reference 1

*
*
*
*

Reference 2

*
*
*
*

Reference 3

*
*
*
*
AUTHORIZATION

The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

It is the institution’s policy, in compliance with Title IX and Title VII as implemented, to provide equal employment opportunities without regard to race, color, age, sex, creed, marital status, ethnic origin, disability or veteran status. KCKCC is an equal opportunity employer.

Voluntary Self-Identification of Disability

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years. Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

https://www.dol.gov/sites/dolgov/files/OFCCP/regs/compliance/sec503/Self_ID_Forms/503Self-IDForm-04262023.pdf

Yes, I have a disability, or have had one in the past.
No, I do not have a disability and have not had one in the past.
I do not want to answer.
VEVRAA Self-Identification Form

KCKCC is a government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA). VEVRAA requires Government contractors to take affirmative action to employ and advance in employment protected veterans. To help us measure the effectiveness of our outreach and recruitment efforts of veterans, we are asking you to tell us if you are a veteran covered by VEVRAA. Completing this form is completely voluntary. Any answer you give will be kept private and will not be used against you in any way.

For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at http://www.dol.gov/ofccp. The categories are defined in an "Am I a Protected Veteran?" infographic.

I identify as one or more of the classifications of protected veteran.
I am not a protected veteran.
I do not want to answer.
Equal Opportunity Employment

We are an equal opportunity employer and do not discriminate based on race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The Information provided will be used for reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information. Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired.

Female
Male
I prefer not to respond.
Hispanic or Latino
Not Hispanic or Latino
American Indian or Alaska Native
Asian
Black or African American
White
Native Hawaiian or Other Pacific Islander
I prefer not to respond

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
Submit
  
Save & Finish Later
Cancel
ApplicantStack powered by Swipeclock
Kansas City Kansas Community College
7250 State Ave | Kansas City, Kansas 66112 | 913-334-1100