Facilities Management
STUDENT EMPLOYMENT ONLINE APPLICATION

INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED

Position(s) applying for (please check the boxes below and rank the top 3 choices):
(Minimum cumulative 2.0 GPA unless otherwise noted.)
Grounds Office Assistant
Facilities Repair Worker Maintenance Mechanic
Stockroom IS Assistant
           
Please rank the above checked positions
First Choice:
 Second Choice:
 Third Choice:


Personal Information
Last Name
 First
 MI
School Address:
 Apt#
 Phone #
City
 State
 Zip
Home Address:
 Apt#
 Phone #
City
 State
 Zip
   
Fax Number
E-mail address (UWP preferred)
           
Emergency Contact
Name
Relationship
 Work/Home Number


Do you require any special accommodations
No Yes (please explain)
School Status
Student ID number
Number of Credits per term
Were you awarded Federal Work Study as part of your Financial Aid yes no I don't know
Class Status
 Last semester GPA
 Cumulative GPA
 
Major:
School you are attending or plan to attend:
Number of credit hours for the semester you are applying for
Employment and Volunteer Experience
Begin with the most recent experience
This would be my first work experience Do you have a valid driver's license? Yes No
Have you ever been employed by UW-Parkside? yes no    If yes, give dates & department
Dates Department
Dates Department
Dates Department
Employer
 Type of Work
Supervisor
 Phone
 Dates
Employer
 Type of Work
Supervisor
 Phone
 Dates
Personal References
Name
Relationship to applicant
 Phone
May we conduct a personal background check including contact of your previous employers and review other records as may be required for some positions?
Yes No (please explain)
Please check off the specific skills that you possess and indicate months of experience
Multi-line Telephone

Months
 Excel MS Office

Months		 Word MS Office

Months
Scanners

Months		 Access MS Office

Months
 Copier

Months
Mowing Equipment

Months

Carpentry

Months

Maintenance

Months

Other
Explain:

Work Schedule
Work Schedule for: Semester
Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Approximately how many hours would you like to work each week?

If you have another position on campus, please indicate the position(s) and total number of hours you currently work.
Position(s)
 Total Hours



By submitting this application, I understand that any false information or significant omissions may disqualify me from further consideration for employment and my be justification for my dismissal from employment if discovered at a later date. I certify that all the information on this application is true and correct in every aspect.


The University of Wisconsin-Parkside is committed to providing equal employment opportunities without regard to race, color, sex, creed, age, ancestry, national origin, disability, sexual orientation, political status, developmental ability, and arrest or conviction record.

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University of Wisconsin - Parkside
900 Wood Road, PO Box 2000
Kenosha, WI 53141-2000 (262) 595-2345

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