Federal Work Study Job Application

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Contact Information

Applicants are considered for all positions without regard to sex, race, color, religion, creed, gender, national or ethnic origin, sexual orientation, age, marital or veteran status, disability, or other classifications protected by law.

First Name

Last Name

Former Name

Preferred Name

Student Nicolet College Email

Student ID

Street Address

City

State

Zip Code

County

Telephone Number

Have you ever been employed?

YesNo

Have you been employed by Nicolet College in the past?

YesNo

Position Details

Start Date

End Date

Position

Employment History

Employer Name

Start Date

Current employer

YesNo

End Date

Supervisor Name

Phone Number

Duties

What position(s) are you applying for?

Duplicate job checking

Students need to select three different jobs. These two text areas assign a 9 to the dupSecond & dupThird variables. This is so that the error message stays hidden until the student selects a job. If it is a duplicate job, a warning message will appear on this page, and the Submit button on page 5 will be grayed out until they choose three different jobs. (See functions checkDupSecond and checkDupThird on the Properties -> Custom Code screen.)

Var 2nd dup

Var 3rd dup

First choice - Click in the box to see the available jobs.

First Choice Code

First Choice Job Description

Second choice

Second Choice Code

2nd Duplicate (Populated from the checkDupSecond function on the Properties -> Custom Code screen.) The ERROR message only appears if the student has chosen the same job for their first and second choices.

ERROR: You may not choose the same job more than once.

Second Choice Job Description

Third choice

Third Choice Code

3rd Duplicate (Populated from the checkDupThird function on the Properties -> Custom Code screen.) The ERROR message only appears if the student has chosen the same job for their first and third choices or their second and third choices.

ERROR: You may not choose the same job more than once.

Third Choice Job Description

Please describe the other role you have in mind.

I have a Non-Profit Organization in mind.

YesNo, please help me find one.

Name of Non-Profit Organization

When are you planning to graduate?

Will you be attending the summer term?

Yes
No

Complete Contact Information for their First Choice

First Choice Name

First Choice Email

First Choice Phone

First Choice Job Type

Complete Contact Information for their Second Choice

Second Choice Name

Second Choice Email

Second Choice Phone

Second Choice Job Type

Complete Contact Information for their Third Choice

Third Choice Name

Third Choice Email

Third Choice Phone

Third Choice Job Type

Boys & Girls Club

BGC Name

BGC Street Address

BGC City, State, Zip Code

BGC Contact Person

BGC Phone Number

BGC Email Address

For the purposes of a background check, please list the states where you have lived in the last seven years.

Have you ever been convicted of a crime or do you currently have criminal charges pending?

YesNo

Please provide details.

Convictions and/or pending charges will not necessarily disqualify applicant from employment. Circumstances of the offense will be considered as they relate to the position.

Do you have a valid driver's license

YesNo

Do you have any limitations which would preclude or hinder you in performing the essential functions/duties of the job for which you are applying?

YesNo

Please describe

Applicant's Statement

I understand that I may not begin work until I have finished the onboarding process and received approval from Human Resources.

I further understand that I will not be paid for hours worked prior to completing this process.

I have read the Applicant's Statement.

Confidentiality/Ethicality Agreement

I acknowledge that certain information relating to work assigned by Nicolet Area Technical College is confidential, including, but not limited to, records contained in student and employee files. I agree that such information shall remain confidential, and that I will act in accordance with the highest of ethical standards.

I understand that sharing of confidential information is a violation of policy, as is the removal or duplication of student and employee records. Furthermore, the removal of employer property, either tangible or intangible, is unlawful and will result in immediate dismissal and/or criminal prosecution. I also understand that I may be held personally liable for breach of confidentiality of information.

Verified failure to comply with confidentiality and high ethical standards will result in termination of employment.

I have read the Confidentiality/Ethicality Agreement.

Nicolet College Sender Name

Nicolet College Sender Email

Work Study Coordinator Email

ERROR: You may not choose the same job more than once. Please return to page 3 and choose a different job for each option.

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