RCH Employment Application

APPLICANT INSTRUCTIONS

If you need help filling out this application form or for any phase of the employment process, please notify the person that gave you this form and every effort will be made to accommodate your needs in a reasonable amount of time.

  1. Please read "APPLICANT NOTE" below.
  2. Complete both sides of this page.
  3. If more space is needed to complete any question, use comments section at the bottom of this page.
  4. Print clearly: incomplete or illegible applications will not be processed. PLEASE NOTE "NOT APPLICABLE" IF NOT ANSWERING A QUESTION.
  5. Provide only requested information. Failure to do so may result in disqualification of your application.

APPLICANT NOTE

This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination based on sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, use of a guide or support animal because of blindness, deafness or physical handicap, or the presence of disabilities. A conviction will not necessarily bar an applicant from employment. Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment. After an offer of employment, and prior to reporting to work, you may be required to submit to a medical review. Depending on company policy and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.

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Name
Current Address
Prior Address

Availability

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What category would you prefer?
For which schedules are you available? Reasonable efforts will be made to accommodate sincerely held religious beliefs and practices.

Job Related Skills

NOTE: Do not fill out any part of this section you believe to be non-job related.
If the job requires, do you have the appropriate valid drivers license?
Have you had any moving violations within the last seven years?
Have you been given a job description or had the essential functions of the job explained to you?
Do you understand these essential functions?
Can you perform the essential functions of this job with or without reasonable accommodation?

Security

Have you used any names or Social Security Numbers other than given above? If so, please list in comments, below.
Have you been convicted of a crime in the past seven years? If so, please describe in the boxes below. (Conviction will not necessarily be a bar to employment. In accordance with company policy and applicable state and federal laws, factors such as age at time of the offence, remoteness of the offense, time since last conviction, nature of the job sought and rehabilitation effort will be reviewed.)
Incident 1
Incident 1
Incident 1
Incident 2
Incident 2
Incident 2

Previous Employers

Most Recent Employer
Are you currently working for this employer?
If yes, may we contact?
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Most Recent Employer
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Most Recent Employer
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References

Include only individuals familiar with your work ability. Do not include relatives.
Reference 1
Reference 1
Reference 1
Reference 2
Reference 2
Reference 2

Education

NOTE: Do not fill out any part of this sections you believe to be non-job related. Please circle highest grade completed. 7 8 9 10 11 12 13 14 15 16 16+
High School
College
Other

Certification and Release

I certify that I have read and understand the applicant note on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in the application, whether on this document or not, may result in rejections of my application or discharge at any time during my employment. I authorize Rooks County Health Center and/or its agents, including consumer reporting bureaus, to verify any of this information. I release all former employers, persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.
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Cheyenne Armbruster-Wahrman, PA-C

Specialty: Family Medicine

Bio:

Cheyenne Armbruster-Wahrman grew up in Plainville and graduated from Plainville High School in 2013. She chose primary care because she enjoys seeing a wide variety of health conditions and age ranges. Armbuster-Wahrman’s philosophy is to always make her patients feel comfortable talking to her and to ensure they know she is there to listen to their health concerns.

She loves the close relationships that small-town living fosters, and Plainville’s close-knit community spirit is evident in the way everyone rallies together to help those in need.

In her free time, she enjoys relaxing with her family and friends. She recommends RCH as a workplace to fellow Primary Care Providers because of the opportunity to get to know patients inside and outside the clinic, as well as the supportive environment among providers, especially for those new to the profession.

Education:

  • Wichita State University; 2022
 
 

Mary Takaishi, PA-C

Specialty: Family Medicine

Bio:

Mary C. Takaishi, PA-C, chose to pursue primary care after her family experienced her sister’s premature birth, which involved numerous hospital and doctor visits. Despite initially aspiring to be an astronaut, her dream shifted after a touching encounter with an elderly man with Parkinson’s Disease during a college Christmas caroling event. This encounter ignited her desire to pursue a medical career, leading her to attend PA school to provide care and support to those in need.

Takaishi’s approach to patient care is characterized by compassion and empathy. She strives to create a welcoming environment where patients feel at ease discussing their health concerns. Beyond the clinic, she actively engages in community services, volunteer work, and public health initiatives.

Originally from Olathe, KS, Takaishi practiced medicine in South Central Kansas before settling in Rooks County with her wife. She prefers the rural setting for raising her daughter over a metropolitan area. On weekends, she enjoys spending time with her daughter and tending to her own self-proclaimed “funny farm”.

Education:

  • Wichita State University; 2006
 
 

Daniel J. Sanchez, MD

Specialty: Family Medicine

Bio:

Dr. Daniel Sanchez is a family medicine physician. He joined the staff at Rooks County Health Center in 1993. He enjoys preventive medicine — fixing risk factors before they cause problems.

He lives in Plainville with his wife, Karen, and their two children.

Education:

  • Residency: Family Medicine at Saint Joseph Hospital; 1993
  • Doctorate of Medicine: Loma Linda University; 1990
  • Bachelor of Arts in Theology/Chemistry Minor: Union College; 1986

Statement:

During medical training, I liked a bit of everything I did and Family Medicine became a very logical choice.  To follow a patient over many years, often treating generations of the same family, gives many insights into a person’s make-up–physically, mentally, emotionally and spiritually. 

I once asked a friend’s dad who was a general practitioner (the term used in that day) what his favorite part of medicine was and he told me preventative medicine.  I asked him what that meant and he said it was about helping people become and stay healthy so they wouldn’t get sick.  “Boring!” I thought.  I wanted to save lives, remove disease and do heroic things.

Now I understand.  We can really abuse our health and then bring our broken bodies for a doctor to try and heal, but how much better to take care of it in the first place and maintain it in good working order.  I understand my mentor’s line of thinking. 

My medical school’s motto is, “To Make Man Whole”.  That is my deepest desire, to restore the whole person to his or her greatest potential and maintain the highest quality of life possible.

Cynthia Peticolas, DMD

Specialty: Dentistry

Bio:

Dr. Cynthia Peticolas is a seasoned dental professional with over 30 years of experience. Dr. Peticolas was born in Maryland, but when she was a year old, her father landed a job with IBM and her family moved to Northern California. When she was in 6th grade her family relocated once again to Eugene, Oregon where her father worked as a physics professor at The University of Oregon. When it came time to go to college, the obvious choice would have been to go to her home-town college where her father worked, but instead she chose Oregon State University, 50 miles north, in Corvallis, Oregon.

She graduated with a Bachelor of Arts degree from Oregon State and then attended Oregon Health Sciences University in Portland where she received her dental degree in 1982.

Dr. Peticolas, practiced in Salem and Mill City, Oregon from 1982 until 2007 when she married and moved to Stockton, Kansas. She now lives in Damar, Kansas with her granddaughter and all her pets!! Anyone who knows her, knows how much she loves animals of all shapes and sizes. She is an avid horse-woman and enjoys trail riding (at a really fast trot). She attends local gaming events and has been active in the sport of endurance riding for nearly 25 years.

​Dr. Peticolas is still a student of dentistry and eager to learn and expand her knowledge and skills as a dental practitioner. She is a member of the American Dental Association, the Academy of General Dentistry, and is president-elect for the Kansas AGD for 2016.

Charles Schultz, MD

Specialty: General Surgery

Education:
University of Kansas School of Medicine 1979-1983
Residency- St. Luke’s Hospital/University of Missouri at Kansas City 1983-1989
Doctorate of Medicine- University of Kansas School of Medicine 1983

Board Certified:
American Board of Surgery

Lavelle Ellis, MD

Specialty: Gastroenterology

Medical School:
University of Kansas School of Medicine, 1986

Fellowship:
Wayne State University,
Gastroenterology
Royal Free Hospital, Hepatology

Residency:
University of Kansas School of Medicine, Internal Medicine

Board Certifications:
American Board of Internal Medicine, Internal Medicine and Gastroenterology

Memberships:
American Gastroenterological Association, American College of Gastroenterology,
American Association of Liver Disease.

Luann Evert, APRN

Specialty: Cardiology

Education and Training

Medical Degree(s)

Masters in Nurse Practitioner and Nursing Education, Fort Hays State University, Hays, KS
BSN, Fort Hays State University, Hays, KS

Patricia Crawley, MD

Specialty: Cardiology

Specialty:
Cardiology

Medical School:
University of Kansas School of Medicine, Kansas City

Residency:
Internal Medicine, University of Kansas School of Medicine, Wichita

Fellowships:
Cardiology, University of Tennessee Graduate School of Medicine, Knoxville

Board Certified:
Internal Medicine, Cardiovascular Disease

Scot Bandel, DPM

Specialty: Podiatry

Bio:

Dr. Bandel is Board Certified by the American Board of Foot and Ankle Surgery in the area of Foot Surgery. He is a member of the American College of Foot and Ankle Surgeons and the American Podiatric Medical Association.

Dr. Bandel is a Western Nebraska native, who attended undergraduate school at Chadron State College, in Chadron, Nebraska and then went on to pursue a Doctor of Podiatric Medicine at Des Moines University. In 2006, Dr. Bandel completed a 3-year surgical residency at Hennepin County Medical Center, a Level 1 Trauma Center, in Minneapolis, Minnesota.

​Dr. Bandel treats a vast number of foot and ankle ailments, both surgical and non-surgical, including but not limited to plantar fasciitis, hammertoes, bunions, sprains, fractures, and diabetic foot care needs. 

​During his time not spent with patients, Dr. Bandel is a very active member of his church and enjoys camping and spending time with his family.

Leann Zimmerman, APRN

Specialty: APRN
Location: Rooks County Hospital

Bio:

Leann Zimmerman, APRN, is a family and psychiatric nurse practitioner who has been providing health care services for over 30 years in rural Kansas.  She also provides a wound care clinic service for inpatients and outpatients at Rooks County Health Center.

Her clinical interest is being a patient advocate and providing care that makes a positive difference in others’ lives.

She lives in Hays with her husband, Jayme. They have 6 children. She enjoys many sports and family events.

Education:

Bachelor of Science in Nursing- Fort Hays State University

Master’s Degree in Counseling- Fort Hays State University

Master’s Degree in Nursing- Fort Hays State University

Clinical Nurse Specialist, Psychiatric Mental Health- Wichita State University

Family Nurse Practitioner- Fort Hays State University

Jerome M. Molstad, PA-C

Specialty: PA-C
Location: Rooks County Hospital

Bio:

With over 35 years of experience, Jerry was one of the first physician associate’s in Kansas to provide locum coverage to rural and small-town hospitals.

He spent most of his career supporting underserved areas and fulfilling his military obligations including separate deployments to Iraq and Kuwait.

A native of Colby, Jerry is always on the move enjoying hiking, skiing, travel, camping, flying, motor paragliding and John Deere equipment restoration. When possible he assists with EMS and firefighting. Jerry is the busy father of six.

Medical Education:

  • Doctorate of Medicine – University of Kansas School of Medicine 2016
  • Master of Public Heath – University of Kansas Medical Center 2014
  • Bachelor of Arts in Political Science – University of Kansas 2005
  • Bachelor of Science in Journalism – University of Kansas 2005

Military Education:

  • Air Command and Staff College
  • Air University, Maxwell AFB, AL (Squadron Officer School)

Certifications:

BLS, ACLS, ATLS, PALS, TCMC

Beth Oller, MD

Specialty: Family Practice
Location: Rooks County Hospital

Bio:

Dr. Beth Oller is a family medicine physician who graduated from Wesley Family Medicine Residency in Wichita.

She is delighted to work in the community of Stockton and build a practice at the new clinic. Clinical interests include maternal/child care, quality improvement, and rural medicine/access to care.

In her free time she likes to spend time with her family. She also likes to read, cross-stitch, and explore Kansas.

Education:

  • Residency: Wesley Family Medicine Residency Program; Wichita, KS; 2011
  • Doctorate of Medicine: University of Kansas School of Medicine; 2008
  • Bachelor of Science in Nursing: University of Kansas; 2002

Mike Oller, MD

Specialty: Family Practice
Location: Rooks County Hospital

Bio:

Dr. Mike Oller is a family medicine physician who graduated from Wesley Family Medicine Residency in Wichita.

He is pleased to live in the community of Stockton and excited to work at the new clinic. Clinical interests include quality improvement, chronic disease management, preventive and procedural medicine.

In his spare time he enjoys spending time with his family. He also enjoys nature photography and gardening.

Education:

  • Residency: Wesley Family Medicine Residency Program; Wichita, KS; 2011
  • Doctorate of Medicine: University of Kansas School of Medicine; 2008
  • Master of Public Health: University of Kansas; 2008
  • Bachelor of Science in Biology: Fort Hays State University; 2003

Emily Decker, PA-C

Specialty: PA-C
Location: Rooks County Hospital

Bio:

Emily Decker is a Physician Associate providing medical services at Rooks County Health Center’s walk-in clinic, Doctors Without Delay. She also worked several years as a Physician Associate at Rooks County’s Post Rock Family Medicine. In 2018 she rejoined the staff of Rooks County Health Center. Emily lives in Hays with her husband Thomas, and their son Grayson. Emily enjoys traveling, reading, crafting and spending time with her family & friends.

Education

  • Bachelor of Science in Mathematics from Fort Hays State University
  • Masters of Physician Assistant from Wichita State University

Certification:

  • Basic Life Support
  • Advanced Cardiac Life Support
  • Pediatric Advanced Life Support
  • Advanced Trauma Life Support