Silver Lake College is an equal opportunity employer. Silver Lake College complies with all policies of non-discrimination on the basis of age, race, religion, creed, color, handicap, marital status, gender, sexual orientation, national origin, arrest record, conviction, or other characteristics protected by the federal, state, and local laws. Silver Lake College offers reasonable accommodations for individuals with disabilities throughout the hiring process. If you need assistance during the application or hiring process to accommodate a disability, please email the Office of SLC Works, or call 920-686-6262


Student Employment Application

Name: ID_Number:
Cell Phone No: Email:
Do you live on campus: Are you registered for classes:
What is your major(s): What is your minor(s):
Year in school: Are you legally eligible for employment in the U.S.A.: Are you 18 or older:

NOTE: If under 18, a Work Permit is required. For information on obtaining a Work Permit, call (608) 266-6860 for information.

Do you have a valid driver's license: Have you even been convicted of a crime or violation, other than a minor traffic violation, or have been charged with a crime or legal violation: If yes, please provide details on each conviction including dates, type of conviction, and state, county and city of conviction (Do not list any convictions which have been legally expunged by a court order):

Please list the department and position titles to which you would like to submit this application:

Position #1:
Position #2:
Position #3:

Work Experience

Please list your employment history, starting with your most recent employer.

Employer #1:
City: State: Zip Code:
Essential Job duties: Reason for leaving:
May we contact the present/previous employer above:

Employer #2:
City: State: Zip Code:
Essential Job duties: Reason for leaving:
May we contact the present/previous employer above:

Additional Information

Please list any additional skills or experience (i.e. clubs, organizations, voluntering, internships, etc.)


I certify that all information I have provided in order to apply for and secure employment with Silver Lake College is true, complete, and correct.

I expressly authorize, without reservation, Silver Lake College, its representatives, employees, or agents to contact and obtain information from all listed reference (personal and professional), employers, public agencies, licensing authorities, and educational institutions and to otherwise verify the accuracy of all information provided by me in this applicaion, resume or job interview. I hereby waive any and all rights and claims I may have regarding Silver Lake College, its agents, employees, or representatives, for seeking gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process.

I understand that Silver Lake College is an "at will" employer. This means that I am free to resign at any time, with or without cause and with or without prior notice, and Silver Lake College reserves the same right to terminate my employment at any time, wtih or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (1) eliminate me from further consideration for employment, or (2) may result in my immediate discharge from Silver Lake College's service, whenver it is discovered.

I certify that I have read, fully understand and accept all terms of the forgoing Applicant Statement.

I agree to the Applicant Statement
I do not agree to the Applicant Statement

Applicant Name: Date:


Office Use Only:

Direct Deposit
Employee Information Form
Confidentiality Form
Yes, Work Permit is Required Date Work Permit Received:
No Work Permit Required