Employee Contact Information First Name: * Last Name: * Middle Initial: LU ID #: Campus Address: Campus Phone #: Cell Phone #: Email Address: * Employment Survey Are you currently a student at Lawrence University * Yes No Are you enrolled for classes at Lawrence for the upcoming Fall Term? * Yes No Are you legally eligible for employment in the U.S.A.? * Yes No Are you 18 years of age or over? * Yes No (NOTE: If under 18, a Work Permit is required and can be obtained in the Payroll Department - Brokaw Hall Room 115.) Have you previously worked on campus? * Yes No If yes, when/where? Have you ever been convicted of a felony or misdemeanor? * Yes No If yes, please describe the crime - state the nature of the crime(s), when and where convicted: CAPTCHA This question is included to prevent automated spam submissions; it is not presented to logged-in users. Next Page >
