Assistant Caregiver Application Assistant Caregiver Employment Application The University of Wisconsin-Milwaukee is an affirmative action, equal employment opportunity employer. Students enrolled in any institute of higher education are eligible for employment. You must be 18 years of age when hired. IF YOU HAVE ANY ISSUES WITH SUBMITTING THIS APPLICATION, PLEASE EMAIL childrenscenter-staffrecords@uwm.edu.The base wage for all classroom staff is $12.00 per hour. Are you willing to work for that wage? (If 'No,' do not continue filling out application.) Yes No Our State Licensing requires all our staff to take at least one course in Early Childhood Education/Child Development (must either have completed one OR MUST COMPLETE ONE WITHIN 6 MONTHS OF EMPLOYMENT. This means you may have to take a 51ÁÔÆæ class at your cost if you have not completed a qualifying class previously. Are you willing to do this? (If 'No,' do not continue filling out application.) Yes No What semester are you applying for?* as soon as possible Summer semester (June 1st), but I can start earlier Beginning Summer semester (June 1st) and continuing into the Fall semester Summer Only (June 1-August 14) If we were to offer you a job, when would you be available to start?* As soon as possible June 1st, but I could start earlier Have you EVER worked at the 51ÁÔÆæ Children's Learning Center before?* No Yes If 'Yes,' please list approximate dates)Have you applied here within the past year?* No Yes First AND Last Name:*Address (while at school) (including street, city, state, zip):*Home address (if different) (including street, city, state, zip):Cell phone (with area code):*51ÁÔÆæ email:*51ÁÔÆæ ID Number (or current college ID number):*Date of birth:*Gender:* Female Male Prefer to self describe as non-binary/gender-fluid/agender Prefer not to say Year in school* Freshman Sophomore Junior Senior Graduate student Major:*Number of credits during Summer 2026 semester: NONE 3-9 10-12 13-17 18 or more Do you have another job?* No Yes Number of hours per week at other job:*For the Summer semester, do you have any other commitments affecting your availability to work?*Are you an international student?* No Yes What age group/s are you interested in working with? Check all that apply.* I am comfortable with any age group 6 weeks – 18 months 18 months – 3 years 3-5 years kindergarten 5-12 years Are there any age groups you would not want to work with or would be uncomfortable working with? Check all that apply.* I am comfortable with any age group 6 weeks – 18 months 18 months – 3 years 3-5 years kindergarten 5-12 years Due to campus restrictions, student work hours are limited to 23 hours per week during Fall and Spring semesters, and 38 hours per week during Summer semester. How many hours a week are you interested in working?* 15-20 21-30 30-39 We are open Monday-Friday, 7:00 a.m. – 6:00 p.m. Please list your WEEKDAY availability to be scheduled to work during Summer semester (e.g., Mondays/Wednesday/Fridays 7:00-11:30, Tuesdays 2:30-6:00, Thursdays 12;30-6:00)*Name of high school you attended:*Did you receive a diploma?* No Yes In the past, have you attended a college or university other than 51ÁÔÆæ?* No Yes Dates attended:Degree:Major:List the college/university in which you are currently enrolled:Indicate if you've completed or are enrolled in any of the 51ÁÔÆæ courses below: (Check all that apply.) CHPS 203 Lifespan Development (formerly HCA 203 Human Life Cycle) EX EDUC 300 The Exceptional Individual MUS ED 260 Making Music Connections with Children NURS 203 Human Growth and Development across the Life Span (4 CR) PSYCH 260 Child Psychology   TCH LRN 302 Inclusive Curriculum Foundations in Early Childhood TCH LRN 312 Models and Issues for Inclusive ECE TCH LRN 323 Teaching of Science in Early Childhood  Other child development training specific to Early Childhood (title, institution, date of completion & # of hours/credits):What specific experiences have you had working with children? What age range?What skills, interests or abilities do you have that would be helpful in working with children? (give examples)What languages, including sign language, do you speak?All Children's Learning Center staff are required to be Pediatric CPR certified. If you're not, a class will be provided for you upon hire. Are you currently Pediatric CPR certified?* No Yes All Children's Learning Center staff are required to be Pediatric First Aid certified. If you're not, a class will be provided for you upon hire. Are you currently Pediatric First Aid certified?* No Yes Do you have prior work experience?* No Yes Most recent prior employer name:Phone number (with area code):Job title & position description:Supervisor's name:Do you have additional prior work experience? No Yes Employer Name:Phone number (with area code)Job title and position descriptionSupervisor's name:Unless vacation time has been preapproved, employment at the 51ÁÔÆæ Children’s Learning Center includes Exam Weeks, UWinteriM and 51ÁÔÆæ Spring Break. All employees of the 51ÁÔÆæ Children’s Learning Center need to complete a Background Verification form and fingerprint check upon hire and caregiver checks at 1-year intervals thereafter. Any conviction resulting from crimes substantially related to children will result in termination of employment. With my signature and by clicking ‘SUBMIT’ below, I give permission to the 51ÁÔÆæ Children’s Learning Center to release my cellular/residence telephone number to other 51ÁÔÆæ Children’s Learning Center staff for work purposes only. The above information is complete and accurate to the best of my knowledge.Signature*