Applicant Information
 *   indicates a required field.
Personal Information
First Name * M.I. Last Name *
Address: *
City * State Zip Code * Country *
Home Phone *
Work Phone
ext.
May we call your work phone number?
 
Email:*
 
How did you hear about Epic?* If referred by an Epic employee, who was it?
 
Please provide the Ad code if available:
 
For what position(s) are you applying: You may only choose 2*

If Other please specify:
 
When will you be available for work?
 
Anticipated Salary:*
 
What percent are you willing to travel for employment with Epic? *
 
Are you willing to relocate to Madison, WI? *
Yes   No
 
Are you legally authorized to work in the United States of America? *
Yes   No
 
Will you now or in the future require sponsorship for employment visa status (e.g., H-1B visa status)?*
Yes   No

Education Information
(Please include all information for degrees earned in foreign countries as well)

SAT Score
SAT Max Score*
ACT Score

First College/University*
Name of School
Dates Attended Diploma/Type of Degree
From : To (e.g. ):
Major Minor
Second Major
Cumulative GPA    Percentile / Class (if Foreign Degree)
                   
Major GPA    Major GPA Percentage (if applicable)
                   


Second College/University
Name of School
Dates Attended Diploma/Type of Degree
From: To (e.g. ):
Major Minor
Second Major
Cumulative GPA    Percentile / Class (if Foreign Degree)
                   
Major GPA    Major GPA Percentage (if applicable)
                   


Third College/University
Name of School
Dates Attended Diploma/Type of Degree
From: To (e.g. ):
Major Minor