Skip to content Group menu sidebar Home Our Services Advisory Board Accreditation Code of Ethics Duty to report History Mission Person-Centered Philosophy Employment Internships and volunteering Locations Giving Directory Contact Us Student employment application I am applying to work for: Center for Disability Services Skill Building (on campus) Adult Wellness Programs (Cork St.) In-home care Either Other… Enter other… Personal information Name First (required) Middle (required) Last (required) Email address Phone Address Address City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Citizenship U.S. Citizen F-1 Visa J-1 Visa Education Classification Freshman Sophomore Junior Senior Graduate student Guest Other… Enter other… Major(s) Minor(s) GPA Expected graduation month/year Employment History Employment (attach resume if possible) Include employer, job title, location and dates of work. Resume Upload Unlimited number of files can be uploaded to this field.100 MB limit.Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip. Do you have any relevant skills? Work availability Monday 6 to 7 a.m. 6 to 7 a.m. 7 to 8 a.m. 7 to 8 a.m. 8 to 9 a.m. 8 to 9 a.m. 9 to 10 a.m. 9 to 10 a.m. 10 to 11 a.m. 10 to 11 a.m. 11 a.m. to noon 11 a.m. to noon noon to 1 p.m. noon to 1 p.m. 1 to 2 p.m. 1 to 2 p.m. 2 to 3 p.m. 2 to 3 p.m. 3 to 4 p.m. 3 to 4 p.m. 4 to 5 p.m. 4 to 5 p.m. 5 to 6 p.m. 5 to 6 p.m. 6 to 7 p.m. 6 to 7 p.m. 7 to 8 p.m. 7 to 8 p.m. 8 to 9 p.m. 8 to 9 p.m. Tuesday 6 to 7 a.m. 6 to 7 a.m. 7 to 8 a.m. 7 to 8 a.m. 8 to 9 a.m. 8 to 9 a.m. 9 to 10 a.m. 9 to 10 a.m. 10 to 11 a.m. 10 to 11 a.m. 11 a.m. to noon 11 a.m. to noon noon to 1 p.m. noon to 1 p.m. 1 to 2 p.m. 1 to 2 p.m. 2 to 3 p.m. 2 to 3 p.m. 3 to 4 p.m. 3 to 4 p.m. 4 to 5 p.m. 4 to 5 p.m. 5 to 6 p.m. 5 to 6 p.m. 6 to 7 p.m. 6 to 7 p.m. 7 to 8 p.m. 7 to 8 p.m. 8 to 9 p.m. 8 to 9 p.m. Wednesday 6 to 7 a.m. 6 to 7 a.m. 7 to 8 a.m. 7 to 8 a.m. 8 to 9 a.m. 8 to 9 a.m. 9 to 10 a.m. 9 to 10 a.m. 10 to 11 a.m. 10 to 11 a.m. 11 a.m. to noon 11 a.m. to noon noon to 1 p.m. noon to 1 p.m. 1 to 2 p.m. 1 to 2 p.m. 2 to 3 p.m. 2 to 3 p.m. 3 to 4 p.m. 3 to 4 p.m. 4 to 5 p.m. 4 to 5 p.m. 5 to 6 p.m. 5 to 6 p.m. 6 to 7 p.m. 6 to 7 p.m. 7 to 8 p.m. 7 to 8 p.m. 8 to 9 p.m. 8 to 9 p.m. Thursday 6 to 7 a.m. 6 to 7 a.m. 7 to 8 a.m. 7 to 8 a.m. 8 to 9 a.m. 8 to 9 a.m. 9 to 10 a.m. 9 to 10 a.m. 10 to 11 a.m. 10 to 11 a.m. 11 a.m. to noon 11 a.m. to noon noon to 1 p.m. noon to 1 p.m. 1 to 2 p.m. 1 to 2 p.m. 2 to 3 p.m. 2 to 3 p.m. 3 to 4 p.m. 3 to 4 p.m. 4 to 5 p.m. 4 to 5 p.m. 5 to 6 p.m. 5 to 6 p.m. 6 to 7 p.m. 6 to 7 p.m. 7 to 8 p.m. 7 to 8 p.m. 8 to 9 p.m. 8 to 9 p.m. Friday 6 to 7 a.m. 6 to 7 a.m. 7 to 8 a.m. 7 to 8 a.m. 8 to 9 a.m. 8 to 9 a.m. 9 to 10 a.m. 9 to 10 a.m. 10 to 11 a.m. 10 to 11 a.m. 11 a.m. to noon 11 a.m. to noon noon to 1 p.m. noon to 1 p.m. 1 to 2 p.m. 1 to 2 p.m. 2 to 3 p.m. 2 to 3 p.m. 3 to 4 p.m. 3 to 4 p.m. 4 to 5 p.m. 4 to 5 p.m. 5 to 6 p.m. 5 to 6 p.m. 6 to 7 p.m. 6 to 7 p.m. 7 to 8 p.m. 7 to 8 p.m. 8 to 9 p.m. 8 to 9 p.m. Saturday 6 to 7 a.m. 6 to 7 a.m. 7 to 8 a.m. 7 to 8 a.m. 8 to 9 a.m. 8 to 9 a.m. 9 to 10 a.m. 9 to 10 a.m. 10 to 11 a.m. 10 to 11 a.m. 11 a.m. to noon 11 a.m. to noon noon to 1 p.m. noon to 1 p.m. 1 to 2 p.m. 1 to 2 p.m. 2 to 3 p.m. 2 to 3 p.m. 3 to 4 p.m. 3 to 4 p.m. 4 to 5 p.m. 4 to 5 p.m. 5 to 6 p.m. 5 to 6 p.m. 6 to 7 p.m. 6 to 7 p.m. 7 to 8 p.m. 7 to 8 p.m. 8 to 9 p.m. 8 to 9 p.m. Sunday 6 to 7 a.m. 6 to 7 a.m. 7 to 8 a.m. 7 to 8 a.m. 8 to 9 a.m. 8 to 9 a.m. 9 to 10 a.m. 9 to 10 a.m. 10 to 11 a.m. 10 to 11 a.m. 11 a.m. to noon 11 a.m. to noon noon to 1 p.m. noon to 1 p.m. 1 to 2 p.m. 1 to 2 p.m. 2 to 3 p.m. 2 to 3 p.m. 3 to 4 p.m. 3 to 4 p.m. 4 to 5 p.m. 4 to 5 p.m. 5 to 6 p.m. 5 to 6 p.m. 6 to 7 p.m. 6 to 7 p.m. 7 to 8 p.m. 7 to 8 p.m. 8 to 9 p.m. 8 to 9 p.m. Employment reference 1 Reference name Reference phone Reference phone Reference phone Item weight Add Add more items more items Relationship to you How long have you known this person? How long have you known this person? How long have you known this person? Item weight Add Add more items more items Employee reference #2 reference 2 name Reference 2 phone Reference 2 phone Reference 2 phone Item weight Add Add more items more items Reference 2 relationship to you How long have you known reference 2? How long have you known reference 2? How long have you known reference 2? Item weight Add Add more items more items I understand that if employed, any false statement on this application may result in my dismissal. You are hereby authorized to make any investigation of my personal history through state agencies and personal references. I, the undersigned, have read the entire application and have carefully considered the objectives of the identified employing department of Western Michigan University. With full understanding of the terms, I agree to willingly abide by the standards, rules, and regulations of Western Michigan University. Submit Leave this field blank
