Student Application Form

Today's Date:
Semester you are applying for (check all that apply): Fall     Spring     Summer    

Contact Information

Name (Last, First):
University ID Number:
Address:
Telephone Number:
FULL email address required:

Personal Information

Your Status:
Grade Point Average:
Anticipated Graduation Date:
Are You Currently Receiving Financial Aid Grants: YES     NO    
Are You Currently Receiving Financial Aid Work Study: YES     NO     $
Are You Currently Receiving Financial Aid Loans: YES     NO    
Are You Currently Employed: On Campus     Off Campus     Not Employed  
Previously Employed at UW-Whitewater: YES     NO  
UW-W Department Previously Employed:  
List Last Two Employers:  
 
When Are You Available to Work: Days     Evenings     Weekends    
In Which Area Do You Prefer to Work: Public Service     Clerical    
In Which Department Do You Prefer to Work: Circulation     Reference/Archives     Government Documents     Technical Processing     Periodicals    
Why Do You Want to Work In the Library:
When Are You Available to Work:
   

UW-Whitewater, University Library
For comments: circdesk@uww.edu
Last Revised: 09/8/06