Application for Part-Time Employment Please complete the form and press the submit button. Application for Part-Time Employment Personal Information What position are you interested in? * Greencoat Security Museum Security FRIB Security Event Traffic Worker Accountability Check-In Worker Cadet Desk Parking Enforcement Access Control Assistance Parking Services Office Aide Institution of Higher Education (Are you a student now?) * MSU OtherOther None Note: If you are currently a faculty/staff member at MSU or are a non-student, please select "None." First Name * Do you have a middle name? * Yes No Middle Name * Last Name * Suffix Date of Birth * Telephone Format (xxx) xxx-xxxx Drivers License Number or State ID Number Issuing State Michigan Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming MSU Student A PID Number MSU Employee Z PID Number Email Are you a citizen of the United States? * Yes No Are you authorized to work in the United States? * Yes No Address Information Address Type * Local Address Permanent Address OtherOther Address * Address Street Address 1 Street Address 1 Street Address 2 Street Address 2 City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Add Another Address Remove Address Education Information Student Information Class Level * Freshman Sophomore Junior Senior Graduate Declared Major * Expected Graduation Semester * Fall Spring Summer Expected Graduation Year * Background Information Have you ever been arrested for a misdemeanor offense (e.g. open alcohol in vehicle, assault)? If yes, please provide dates, jurisdiction, location, and details of the case. * No YesYes Have you ever been arrested for a felony offense? If yes, please provide dates, jurisdiction, location, and details of the case. * No YesYes Have you ever received a civil infraction unrelated to a vehicle offense (e.g. noise violation, ordinance violation)? If yes, please provide dates, jurisdiction, location, and details of the case. * No YesYes Has your driver's license ever been suspended or revoked? If yes, provide dates, jurisdiction, location, and details of the situation. * No YesYes Have you ever received a moving violation (e.g. speeding, failure to signal)? If yes, specify the total number of violations received. * No YesYes Have you ever accumulated more than 6 unpaid parking violations issued by MSU or in the City of East Lansing? If yes, please provide jurisdiction, location, and reason for being unpaid. * No YesYes Do you currently have any unpaid parking violations issued by MSU or the City of East Lansing? If yes, please provide details about the situation. * No YesYes Have you ever had contact with a police officer for any official police matter? If yes, please provide details about that contact. * No YesYes Personal Reference Information Please provide at least 3 personal references and at least ONE must be a non-family member. You may add more by clicking the "add" button. Name (Last, First) * Telephone * Relationship * Years Known Add Remove Have you ever held a job or been employed? Yes No Have you ever worked at MSU? Yes (then list this job in the Employer Reference Information Section) No Do you currently work at MSU? Yes (then list this job in the Employer Reference Information Section) No Employer Reference Information Please provide employer references for current or former jobs. You may add more by clicking the "add" button. Name (Last, First) Position Title Telephone Company Name and Address Dates of Employment Reason for Leaving (Please be detailed) Add Remove Attestation and Acknowledgement I acknowledge by submitting this form that I have read and understood the information provided outlining the job qualifications, duties, working conditions, and hiring process. I understand that my tendering, or the Michigan State University Police Department accepting this application does not constitute employment or an offer of employment. I also understand that any false or misleading information provided by myself on this application or in connection with this application for employment may result in the rejection of this application; or if employed, may result in the termination of employment. reCAPTCHA If you are human, leave this field blank. Submit