Applicant’s Name:
UWSP PAPER SCIENCE AND ENGINEERING DEPARTMENT
Office Assistant Position
Application
Personal Data
Name:
Last / First / MI
Local Address: / Student ID #:
Permanent Address:
City: / State: / Zip Code:
Position Applying For: / Paper Science & Engineering Office Assistant
Are you currently on academic probation? (A cumulative and/or last semester’s GPA below a 2.0) / Yes / No
What is your: / Major (s)
Minor (s)
How many hours per week are you available to work?
How did you hear about this position opening?
Previous Work Experience
Position Held: / Supervisor:
Company: / Telephone:
Address:
Employment Dates: / to / Reason for Leaving:
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Position Held: / Supervisor:
Company: / Telephone:
Address:
Employment Dates: / to / Reason for Leaving:
Personal References
Name: / Telephone:
E-mail Address / Relationship to applicant:
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Name: / Telephone:
E-mail Address / Relationship to applicant:
Personal Profile: Use additional paper if necessary.
Expand on classes, involvement in co-curricular activities, offices held, skills, trainings, or interests that you feel help qualify you for this position.
Please describe your experience with Microsoft Office applications (e.g., Word, Excel, Outlook, PowerPoint, Publisher).
Provide any information or comments that you feel will help us to understand how your interests and abilities relate to this position.
Signature
I certify that all information on this application is accurate and complete to the best of my knowledge. I understand that any misrepresentation or omission of facts could render my application void or be sufficient grounds for my termination. By signing this application, I give the Paper Science and Engineering Department the authorization to do the following:
·  Submit this application to other departments if I am not selected for the position for which I have applied. I realize that this is not mandatory and will not affect the status of my application.
·  Contact references and previous employers which I have listed on the previous application page.
Comments:
·  Check my academic standing and verify that I have at least the required minimum 2.0 GPA for both my cumulative and semester GPAs.
Signed: / Date:
By sending this application via email, you make the certification above
In the schedule space below please indicate your course schedule for the semester
Semester Schedule
Monday / Tuesday / Wednesday / Thursday / Friday
8:00 am
9:00 am
10:00 am
11:00 am
12:00 pm
1:00 pm
2:00 pm
3:00 pm
4:00 pm