804 Williamson Street
Madison, Wisconsin
Application for Employment
Personal
Availability
Hours Desired
Days Desired
Hours per Week
Miscellaneous Info
Are you over age 18?
Do you have legal authorization to work in the United States?
Are you a veteran?
Education*
Do you have a High School Diploma, HSED, or GED?
Post High School training, completed years?
University or College Name
Date From & To
GPA
Major
Degree
Work Experience*
Job Title
Date From & To
Wage
Company
Website or Phone Number
References - not related
Name
Years Known
Relationship
email
Phone
*If you submit a resume, there is no need to fill in this area
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
AM
PM
Monday
< 10
10 - 20
20-32
> 32
Yes
No
Yes
No
Yes
No
Yes
No
1
2
3
4
Graduate School
