Student Employment Application

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Please note these things before beginning the application:

Enrolled in good standing as a graduate or undergraduate student at the University of Puget Sound.
Maintain a GPA of 2.0 or better.
Physically capable of meeting the requirements of foot patrol, emergency response, and tasks as assigned.

List as much work or volunteer experience as possible. Make sure that you describe your assigned duties as completely as possible.
Applications are always accepted, and will remain on file for review when openings arise.
By hitting the submit button you assert that the application contains no willful misrepresentation or falsification and that the information given is true and complete to the best of your knowledge and belief. You are aware that, should an investigation at any time disclose misrepresentation or falsification, the application may be rejected or you may be dismissed from the University of Puget Sound (UPS) Security Services if already employed. You also authorize investigation of all statements contained in this application. Organizations or persons named herein are authorized to give information regarding you and they are hereby released from all liability for issuing such information.

Position Desired: Patrolperson (swing and/or graveyard, seven days a week) Dispatcher (evenings and/or weekends, seven days a week)
How did you learn about this position?
Name (Last, First, Middle):
E-mail Address:
Date Available:
Student ID Number:
Local Address:
Permanent Address:
Anticipated Graduation Date:
Major(s):
GPA:
Previous Work at Puget Sound (Dates, Supervisor, Department):
Do you have any health conditions that might limit your ability to perform the job for which you are applying or necessitate absence during working hours? Yes No
If yes, please explain:
Relatives Working for the University:
Do you read, write, and speak English?	Yes No
Do you have any previous criminal convictions?	Yes No
Are you currently certified in CPR?	Yes No
Source of Certification:
Are you currently certified in First Aid?	Yes No
Source of Certification:
Driver's License Number:
Driver's License State:
Expiration Date:
Military Service:	Yes No
Branch:
Date Entered:
Date Seperated:
Final Rank:
Describe training and duty assignment:

Please select the last year of school completed: High School 9 10 11 12
Undergraduate 1 2 3 4
Graduate 1 2 3 4

Have you ever been on academic probation or received a disciplinary sanction at UPS or a previously attended school? Yes No
If yes, please explain:
What other activities are you involved in at UPS?

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