Application for Employment - Wisconsin

State of Wisconsin
Application for State Employment - Instructions - page 2 of 4
OSER-DMR S-38 (rev. 06- 10)
Wis. Stats. 230.16
1. JOB ANNOUNCEMENT TITLE
A job title is required to process your application. Complete an application for each job you apply for unless the job titles
were announced in the same announcement. Enter the job title as it appears in the announcement.
JOB ANNOUNCEMENT CODE
An accurate Job Announcement Code is required to process your application. The Job Announcement Code is listed in the
heading of the job announcement. If the job announcement lists two Job Announcement Codes, enter the second code on the
line provided.
2. NAME
A last name, first name, and middle initial (if applicable) are required to process you r application .
LAST FOUR DIGITS OF SOCIAL SECU RITY NUMBER
The last four digits of your Social Security Number ar e required to process your application.
DATE OF BIRTH
Use numbers to identify the month and day you were born (MM and DD) example: January 2 would be 01 and 02. The
month and day of your birth are required to process your application. Year of birth is optional and is used as an additional
identifier only.
MAILIN G A D DRESS
Your Address, City, State, Zip Code and Coun try are required to process your application. If you have an existing Wisc.Jobs
job cart you may update your infor mation online anyti me at www.Wisc.Jobs
. If you do not have an existing j ob cart, you
may create one at www.Wisc.Jobs or notify the Office of State Employment Relations by mail: P.O. Box 7855, Madison, WI
53707-7855; phone (608 ) 266-1731; or e-mail [email protected].
MOTHER'S MAIDEN NAME
This information is required to process you r application. Enter your mother’s maiden name (last name only) or another name
or word that will serve as an additiona l identifier to make your applicant record uniqu e.
PHONE NUMBER(S)
Please provide a phone number(s) where you can be reache d if there are questions regarding your application or to schedule
an interview.
3. LEGALLY AUTHORIZED TO WORK IN THE U.S.
Completion of this section is required to process your application . Check YES only if you are one of the following: (1) a
citizen or national of the United States; (2) a lawful permanent resident; or (3) an alien authorized to work in the United
States.
4. WISCONSIN RESIDENCY
Completion of this section is required to process your application. Indicate whether you are a permanent resident of the State
of Wisconsin. Wisconsin residency is required only for Limited Term and Project positions.
5. WORK HOURS
You must include the type of work you will accept in order for us to process your application. Check all types of w or k hou rs
that you will accept.
INSTRUCTIONS CONTINUE ON THE NEXT PAGE
Page 2/6
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