PEER FINANCIAL EDUCATOR APPLICATION
Financial Literacy Center, Financial Services, 112 Hyer Hall
PERSONAL INFORMATION
Name (First & Last): _____________________________________________________________________
Local Address: _________________________________________________________________________
Home Address: ________________________________________________________________________
Preferred Phone: _____________________________ Second Phone: _____________________________
Preferred Email: _________________________________________ Student ID: ____________________
ACADEMIC INFORMATION
Current Academic Level: _______________________ Anticipated Graduation Date: _________________
Major:______________________________________ Current GPA: ______________________________
Will you have Work Study in the fall and/or spring? YES NO
If yes, identify semester(s) and amount being allocated: ___________________________________
Have you worked on campus before? YES NO
If yes, where and when: _____________________________________________________________
YES NO
Are you legally eligible for employment in the United States?
List current/past personal finance experiences such as completed classes, employment, or other activities:
Identify three words that describe your work habits:
AVAILABILITY
Identify times of availability to work (regular office hours are 8:00 am to 4:30 pm, M-F):
Day of Week
Morning
Afternoon
Monday
Tuesday
Wednesday
Thursday
Friday
Are you available to work both fall and spring semester? YES NO
Do you have any other commitments that would impact your ability to work your scheduled hours (ie:
another job, organizations, clubs)? YES NO
If yes, please list: __________________________________________________________________
PREVIOUS EMPLOYMENT
Please list the most recent first.
1. Employer: ___________________________________________________________________________
Position: ________________________________ Dates of Employment: ______________________
Brief Description of Duties:
2. Employer: ___________________________________________________________________________
Position: ________________________________ Dates of Employment: _______________________
Brief Description of Duties:
REFERENCES
Provide two work-related references that may be contacted:
Name: ___________________________________ Name: ____________________________________
Company: ________________________________ Company: _________________________________
Phone Number: ___________________________ Phone Number: _____________________________
By signing this application, I am verifying the information provided is true and correct to the best of my
knowledge:
Signature: ___________________________________________ Date: __________________________
Please return completed employment application via email or mail:
Katie Patterson, Financial Literacy Coordinator UW-Whitewater, Financial Literacy Center
pattersokm21@uww.edu 800 W. Main Street, 112 Hyer Hall
Whitewater, WI 53190
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