State of Kansas Personal Information Registration

Applicant Information

All fields marked with an * are required.



(Ex. 999887777)






(Where you can be reached between 8am and 5pm; Ex. 785-123-4567)

Applicant Characteristics Survey

This optional information is used for statistical purposes only.

Veteran Preference Notice: If you are claiming veterans' preference for the first time please mail a copy of your DD214 - copy of discharge or documentation in form of a letter from the United States Department of Veterans Affairs to verify service-connected disability, copy of a marriage license to verify relationship as a spouse to a service member, a letter or notice from the Federal Government showing that their spouse died while serving in the armed forces, or other relevant documentation that would help qualify an individual for veterans’ preference in accordance with the eligibility criteria set forth in K.S.A. 73-201. Please mail discharge or documentation to the Kansas Department of Administration, Office of Personnel Services, 900 SW Jackson, Room 401-N, Topeka, Kansas 66612 or Fax to (785) 291-3715.

The Americans with Disabilities Act of 1990 ensures your right to reasonable accommodations. Arrangements will be made if you have a disability that requires accommodation in completing a registration form or other employment materials, in applying for a vacancy, in interviewing and any other employment process. A request for an accommodation will not affect your opportunities for employment with the State of Kansas. It is your responsibility to make your needs known to the agency to which you are applying.