Public Safety

Student Employment Application

  • Student Employment Application 

    First Name:       
    Middle Name:  
    Last Name:  
    Email Address:  
    Student ID #:     
    Home Phone:  
    Cell Phone:  
    Mailing Address:  
    Academic Major(s)/Minor(s):  
    Anticipated Graduation: (month & year)  
    Current Classification:


    Position you are applying for:


    Operational time for each position (reference these times when listing your availability below): 
    Student Officers: Variable, 6pm - 2am (Su - Th), 6pm - 4am (Friday & Saturday) 
    Info Booth: 7am - 7pm, Monday through Saturday
    Office Assistant/ Program Assistant: 
    The following shifts: 
    -Monday through Friday:
    8:30am to 12:30pm
    12:30pm to 4:30pm
    4:30pm to 6:30pm
    Night Hawk: 6pm - 12am (Su - Th), 6pm - 2am (Friday & Saturday)
    Assistant Dispatcher: Variable, Sunday-Saturday, 10am to 2am in four hour shifts  
    Van Detailer: Various

    Using the operational times above, list the hours you are available for each corresponding day:
    (Example: 8pm to 2am,  Note: if you are NOT available the entire day, please put NA) 


    Sunday      through
     Monday                 through
     Tuesday              through
     Wednesday         through
     Thursday             through
     Friday                   through
    Saturday              through


    Please answer the following questions:

    Have you ever or do you currently work on campus?  If so, where?  

    List your last two places of employment.
    (Include the City, State, plus Begin & End dates)


    Have you ever had any unfavorable, Student Conduct Issues on or off campus?  If so, please briefly describe below.

    Do you authorize Public Safety to conduct a background check to determine qualification of your candidacy?

    List all former addresses - over the last 10 years.
    (Street Address, City, State, Zip, Country, plus Begin & End dates)



    By submitting this application, I agree to allow Public Safety to conduct a background check, a required part of this application process.

    This is a: