Name:

Madison Address:

Madison Phone:

Permanent Address (if different):

Permanent Phone:

Your e-mail address:

1) You would like to begin working here:
Fall Semester
Spring Semester
Summer Semester

2) Are you interested in the overnight shift (11:45 p.m. - 8:00 a.m.)
Yes
No

3) Number of hours wanted per week:

4) Indicate your availability to work these specific shifts:
8:00 a.m. - 11:00 a.m.
11:00 a.m. - 1:00 p.m.
1:00 p.m. - 3:30 p.m.
3:30 p.m. - 6:00 p.m.
6:00 p.m. - 9:00 p.m.
9:00 p.m. - midnight
11:45 p.m. - 8:00 a.m. (overnight)

5) We expect every student to be available to work one weekend shift. Indicate your availability to work these specific shifts:
Friday 6:00 p.m. - 9:00 p.m.
Friday 9:00 p.m. - midnight

Saturday 9:30 a.m. - 1:00 p.m.
Saturday 1:00 p.m. - 6:00 p.m.
Saturday 6:00 p.m. - 9:00 p.m.
Saturday 9:00 p.m. - midnight

Sunday 9:30 a.m. - 1:00 p.m.
Sunday 1:00 p.m. - 6:00 p.m.
Sunday 6:00 p.m. - 9:00 p.m.
Sunday 9:00 p.m. - midnight

11:45 p.m. - 8:00 a.m. (overnight)

6) Please fill in your class schedule for the semester you indicated in question 1. Include any other times that you CANNOT work.

7) If offered employment here, do you agree to give two weeks notice if you decide to end your employment here and to work shifts that do not conflict with exams during exam periods?:
Yes  No

8) Do you have a Work Study Grant?:
Yes  No

9) When is your expected graduation date:

10) List and describe your previous work experience:
 

11) List any previous jobs. Include supervisor names and phone numbers if possible:
 

12) Why are you interested in working at college library?
 

Thanks for your interest.