The University of Wisconsin Survey Center
University of Wisconsin - Madison
475 N Charter Street
Madison, WI 53726
Survey Research Interviewer Online Application
Applicants must be 18 years of age or older and have a high school diploma or equivalent. Incomplete applications will not be considered. If there is a reason you cannot complete portions of this application, please explain in the space provided at the end of the application.
Is this a cell phone?
What is your Email Address?
Are you a U.S. Citizen?
Are you a Wisconsin Resident?
When can you begin working? (MM/DD/YYYY)
When must you stop working? (MM/DD/YYYY)
(If not applicable, leave blank.)
A minimum of 3 shifts (12 hours) per week is required; generally evenings/weekends and one shift must be a weekend shift. Occasionally we need staff primarily for weekday shifts (this may be telephone work or Tracing and Locating work).
Number of hours per week you'd like to work: REQUIRED
When are you primarily available to work?
(check all that apply)
We are also looking for a small number of interviewers to conduct interviews in Spanish. How would you describe your fluency in Spanish?
(check all that apply)
Not fluent/Does not apply
EDUCATION AND EXPERIENCE
What is the highest year of school that you have completed?
Are you currently a student?
Are you currently a University or State employee?
Were you ever previously employed by the University of Wisconsin or the State of Wisconsin?
Have you previously worked for the UW Survey Center?
If yes, when? REQUIRED
Are you able to type?
If yes, approximately how many words per minute can you type? REQUIRED
Please briefly describe any special skills or knowledge you have, such as foreign language fluency, computer experience, or internships:
Please list your last four employers, starting with your current or most recent employer first:
Also include your supervisors' reference information from all jobs listed above. Applications with incomplete references will not be considered. Indicate any discrepancies in the comments section at the end of the application.
Please tell us how you heard about the UW Survey Center:
Please explain how you heard about the UW Survey Center.
Please use the box below for any comments or questions.