Application for Part-Time Employment – MSU Police and Public Safety

Personal Information

What position are you interested in? *

Please note: Not all positions are being filled at all times. You may not be contacted until positions are required.

First Name *

Middle Name

Last Name *

Suffix

Date of Birth *

Telephone

Format (xxx) xxx-xxxx

Drivers License Number or State ID Number

Issuing State

MSU Student 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 2

City

State/Province

Zip/Postal

Add Another Address Remove Address

Student Information

Expected Graduation Semester *

Fall

Spring

Summer

Expected Graduation Year *

Background Information

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

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.

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