Animal Caretaker Application for Employment

General Information

The University of Wisconsin-Milwaukee is an equal opportunity employer and fully subscribes to the principles of Affirmative Action and Equal Employment Opportunity. It is the policy of UWM to provide employment, compensation and other benefits related to employment based on qualifications, without regard to race, color, religion, national origin, age, sex, sexual orientation, veteran status or disability, parental status or any other basis prohibited by federal or state law. As an equal opportunity employer, UWM intends to comply fully with all federal and state laws and the information requested on this application will not be used for any purpose prohibited by law. Applicants with disabilities may request any needed accommodation.

Position for which you are applying:

Date of Application: (mm/dd/yr)

Semesters that you wish to keep your application active (you must be enrolled):

Fall   Spring   Both Semesters

Personal Information

Student ID:  
First Name:
Last Name:
M.I:
School or College in which you are enrolled:
Major(s):
Minor(s):
Status:

Availability to Work

Please complete the Animal Caretaker Schedule of Availability to indicate the hours you're interested in working.


Local Contact Information

Street:  
City:
State:
Zip:

Email:
Home Phone:   -
Times to Call:  
Cell Phone: -
Times to Call:
Work Phone: -
Times to Call:

Educational Background

School From To Degree

Skills and Qualifications

  • Keyboard Words per minute
  • Number of Years of Computer Experience
  • Word Processing Yes No
  • Spreadsheet Yes No

List computer software previously used, equipment or machinery you can operate:

Describe any training you have had which is not covered above, such as workshops, correspondence courses, service schools, inservice training, apprenticeship programs, volunteer work -- (provide dates)

List accreditation, licenses or other special credentials

Work Experience


(List most recent first)

Provide a complete description of all qualifying experiences. This information may be used to determine your qualifications. Be Specific. Start with your present or most recent job. For part time work, show the average number of hours worked. Indicate any change in job title under the same employer as a separate position.

Most recent position:

Position:   From (Month & Year):   To (Month & Year):  
Agency or Firm:  
Supervisor's Name:  
Supervisor's Phone Number:   --
Address:  
Duties:  
Reasons for leaving (state if discharged or asked to resign):  

 

Next most recent position:
Postion:   From: (Month & Year)   To: (Month & Year)  
Agency or Firm:  
Supervisor:  
Supervisor's Phone Number:--
Address:  
Duties:  
Reasons for leaving (state if discharged or asked to resign):  

Next most recent position:

Postion:   From: (Month & Year)   To: (Month & Year)  
Agency or Firm:  
Supervisor:  
Supervisor's Phone Number:   --
Address:  
Duties:  
Reasons for leaving (state if discharged or asked to resign):  

May we contact the employers listed above?   Yes     No

If no, please explain:

Have you ever been employed by UWM?   Yes     No

If yes, when, in what department and in what capacity?:

References

Give at least three (3) references, such as professors or past employers.

Reference 1:
Name:   Title:  
Address:  
Phone Number:   -


Reference 2:
Name:   Title:  
Address:  
Phone Number:   -


Reference 3:
Name:   Title:  
Address:  
Phone Number:   -

Additional Comments



PLEASE READ CAREFULLY:

I hereby certify that the statements and answers given by me on this application are true and correct. I hereby authorize you to contact references, past or present employers (except as noted above), persons, schools, law enforcement agencies and any other source of information which may be relevant to my application for employment. It is understood and agreed that any misrepresentation, false statement or omissions by me in this application will be sufficient reason for rejection of my application or for dismissal at any time during my employment, without liability to the University of Wisconsin-Milwaukee.

I hereby certify that the above is true, that this department may contact any of the above listed references, and that a UWM transcript may be released to the Department.

Input your name here if you have read, agree and understand the above statements:  

 

Updated December 15, 2006 by SAK