Semester Applying For *
applications are retained for one semester only

Fall Spring Summer

Name *

Madison Address *

Madison Phone *

Permanent Address (if different from your Madison address)

If you are offered employment, you must provide documentation that establishes your identity
and authorization to work in the United States by the third day following the start of your employment.

Permanent Phone

Email Address *

Hours Wanted Per Week

Availability *

Indicate your availablility to work the following
early morning (7:30 am)
weekends
evenings (9:00 pm - midnight)
summer session
winter break
spring break
None of the above

Class Schedule (for the semester you are applying for, including any times that you cannot work)

Two Weeks Notice *

If offered employment here do you agree to give two weeks notice if you decide to end your employment here?

Yes No

Exam Schedule *

If offered employment here do you agree to work shifts that do not conflict with exams during exam periods?

Yes No

Work Study *

Do you have a work study grant?

Yes No Don't Know

Length of Employment

Number of semesters you might work here

Year in school *

Undergraduate 1st 2nd 3rd 4th (+)
Graduate 1st 2nd 3rd 4th (+)

Your Major

Relevant Experience

List any relevant experience (work or otherwise)

Preferred Unit

Do you have a preferred unit within the Library where you would like to work?

Language Skills *

Do you have foreign language skills/experience?
Yes No

If yes please indicate which language(s)

Computer Experience *

Do you have computer experience?
Yes No

If yes please indicate which programs

References

Please provide two relevant references (work references preferred)

Thank you for your interest in working at the Ebling Library!