Center for Academic Resourcesthe writing Center

University of Wisconsin Oshkosh

OfficeAssistant Application

Applicant Information

Last Name / First / M.I. / Date
Street Address / Apt
City / State / ZIP
Phone / E-mail Address
Anticipated Graduation Date: ____/_____/______/ Titan ID #
Have you tutored with CAR or the Writing Center before? YES NO If so, when?
Are you a citizen of the United States? / YES / NO / If no, are you authorized to work in the U.S.? / YES / NO
Have you ever/do you currently work for UW Oshkosh? / YES / NO / If so, when & where?
Have you ever been convicted of a felony? / YES / NO / If yes, explain
What is your current cumulative GPA? / What is your major?
Hours you would like to work per week?
Indicate availability below:
Sunday (4pm-9pm)
Monday (8am-9pm)
Tuesday (8am-9pm)
Wednesday (8am-9pm)
Thursday (8am-9pm)
Friday (8am-4pm)

PROFESSIONAL REFERENCES (Academic staff or faculty, previous employer/supervisor, etc)

Full Name / Relationship
Company / Phone / ( )
City/State
Full Name / Relationship
Company / Phone / ( )
City/State
Full Name / Relationship
Company / Phone / ( )
City/State

~complete reverse side~

Previous & current Employment

Company / Phone / ( )
City/State / Supervisor
Job Title / Starting Salary / $ / Ending Salary / $
Responsibilities
From / To / Reason for Leaving
May we contact your previous supervisor for a reference? / YES / NO
Company / Phone / ( )
City/State / Supervisor
Job Title / Starting Salary / $ / Ending Salary / $
Responsibilities
From / To / Reason for Leaving
May we contact your previous supervisor for a reference? / YES / NO
Company / Phone / ( )
City/State / Supervisor
Job Title / Starting Salary / $ / Ending Salary / $
Responsibilities
From / To / Reason for Leaving
May we contact your previous supervisor for a reference? / YES / NO

Technical Proficiency – How proficient are you with the following applications?

Google Mail / (1) Not at all (2) Somewhat (3) Moderate (4) Proficient (5) Expert
Google Calendars / (1) Not at all (2) Somewhat (3) Moderate (4) Proficient (5) Expert
Google Drive / (1) Not at all (2) Somewhat (3) Moderate (4) Proficient (5) Expert
Microsoft Word / (1) Not at all (2) Somewhat (3) Moderate (4) Proficient (5) Expert
Microsoft Excel / (1) Not at all (2) Somewhat (3) Moderate (4) Proficient (5) Expert

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview will result in termination of employment.
Signature / Date

Notice of Nondiscrimination: The University of Wisconsin-Oshkosh is committed to nondiscrimination on the basis of race, color, ethnic or national origin, sex, sexual orientation, gender identity, religion, age, ancestry, disability, genetic information, military status, veteran status, arrest or conviction record, or political affiliation in admissions, educational programs or activities and employment, including employment of disabled veterans and veterans of the Vietnam Era, as required by applicable laws and regulations. Inquiries concerning Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and the Americans With Disabilities Act Amendments Act of 2008, may be directed to the Director of Equity and Affirmative Action, University of Wisconsin-Oshkosh, 800 Algoma Boulevard, Oshkosh, Wisconsin, 54901 (Phone) 920-424-0330.