Application Form

Contact Information First Name:

Last Name:

Student ID:

E-Mail:

Home Address:

School Address:

Home City:

Home State:

Home Zip:

Local Phone:

Home Phone:

Conditions Do you have a valid drivers license?
Yes
No
Do you have any physical condition which would require a consideration in job assignment?
Yes
No
Do you have work study funds available?
Yes
No
Amount ($):

Prior Employment Have you ever worked for FP&M before?
Fall
Spring
Summer
External References
Name of Company:

Type of Work Performed:

Name of Company:

Type of Work Performed:

Job Preferences Which semesters would you like to work?
Fall
Spring
Summer
Please indicate the number of hours you are available to work each day:
Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Before submitting your application please review the entire application to ensure that it is accurate, once submitted, no changes can be made . By clicking "Submit" your application will be transmitted to FP&M and made available for review by the management.

UW-Whitewater is an equal opportunity employer with an affirmative action plan; therefore, women, minorities, veterans, and persons with disabilities are encouraged to apply.

If you would like to send a resume, cover letter, or list of references in addition to your application, please send to Facilities.

Student Employment

Application Form