University Centers Application for Employment Date Received Mission Statement University Centers serves the community by providing a welcoming environment that facilitates learning opportunities, embraces diversity, and enriches the campus experience. Diversity Missions Statement University Centers values, respects and appreciates all individuals. University Centers is committed to providing a workplace free of sexual harassment, intimidation, threats, coercion, or discrimination (which includes harassment based on gender, pregnancy, childbirth, or related medical conditions) as well as harassment, intimidation, threats, coercion or discrimination based on such factors as race, color, religion, national origin, ancestry, age, physical disability, mental disability, medical condition, marital status, sexual orientation, gender identity or expression, family care leave status, or veteran status. Further, we strongly disapprove of and will not tolerate harassment by our employees of non-employees with whom the organization has an academic, service or professional relationship. PLEASE PRINT ALL INFORMATION Name (First, Middle Initial, Last) Student Email Address Campus/Local Address(Street/City/Zip) Permanent Address(Street/City/Zip) Contact Phone # Current Level (Check One): Freshman UW-L Enrollment Status Anticipated Date of Graduation:____________________ *If a graduate student, do you have an assistantship? Yes Cumulative GPA:___________ Total Credits Earned:_______________ Check the times you are available to work: Fall Semester Spring Semester Summers Interims Weekdays Evenings Weekend Major(s):__________________________________________________ Minor(s)/Concentration(s):____________________________________ If completing an internship/student teacher as part of your academic program: Will this make you unavailable to work? No Number of Hours per week you would like to work________________________________ When will this make you unavailable? General Information Have you ever been employed with us before? No Yes Where __________________from _____________to_______________ List any other UW-L departments for which you have worked (include dates): _______________________________________________ ______________________________________________________________________________________________________________ Are you currently employed either on or off campus Hours per week No May we contact your employer(s)? Yes Where?________________________________________________ No Yes Supervisor Name_________________________________ How did you learn about us? Employment History Dates From/To Employer Name/City Supervisor Phone # Duties Reason for Leaving Employment Preference PLEASE PLACE A √ TO INDICATE WHICH POSITIONS ARE OF INTEREST AND FEEL YOU ARE QUALIFIED TO BE EMPLOYED Refer to University Centers Employment Opportunities – Position Description Summaries for more information about available positions University Centers General Office 212 Cartwright Center Administrative & Activities Office Assistant Meal Plan/ID Card Office 223 Cartwright Center Meal Plans/ID Cards Office Assistant University Reservations 223 Cartwright Office Assistant Event Support Valhalla Set-up Crew Custodial/Setup Assistant Information Counter Cartwright Center Lobby Building Manager Cartwright Center Graphics Lower Level, Cartwright Center Graphic Designer Leadership & Involvement Center 221 Cartwright Center Please contact the LIC at 608-785-6600 if interested in working in this area Pride Center Lower Level, Cartwright Center Please contact the Pride Center at 608-785-8887 if interested in working in this area Counter Assistant Campus Dining Service Food Preparation Counter Service Catering Various Dining Locations: *Cellar * Red Mango * Einstein Bros.* Galley * Whitney Center Dining Rooms * Catered Events * Murphy’s Mug * Centennial Hall Skills * Experience * Expectations (please provide answers on separate paper) (1) What qualities, skills and experiences make you a good candidate for employment in University Centers? (2) Why do you desire to work in the areas you have indicated above? University Centers Hiring Process 1. Your completed application may be turned in to 212 Cartwright Center or sent electronically to stuactvts@uwlax.edu 2. Applications will remain on file for the current school year. 3. Our main hiring occurs in spring for the following fall semester. 4. We have positions available in a variety of areas, so it is possible to be called for an interview from multiple supervisors. Certification I certify that the information I have provided on this application is true, correct, and complete to the best of my knowledge. I am aware that certain positions may require a background check. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of UW-L and the University Centers department. Signature Completed applications should be returned to 212 Cartwright Center Date