UWSP Protective Services
APPLICATION FOR EMPLOYMENT
Thank you for your interest in employment with the University of Wisconsin-Stevens
Point Protective Services. Please complete the entire application, incomplete applications
may not be considered. Application must be typed or clearly written in ink. Applications
must be legible for consideration.
Completed applications should be returned to:
Protective Services
c/o John Taylor
George Stein Building
1925 Maria Drive
Stevens Point, WI 54481
________________________________________________________________________
Position Applying For:
Last Name:
First Name:
Middle Name:
Address:
City:
State:
Home Phone (include area code):
Date of
Birth:
Zip:
Cell Phone (include area code)
Email Address:
Driver’s License Number:
Social Security Number: (Disclosure is voluntary. It will
only be used to unsure that correct records are obtained)
State:
Student ID number:
Education:
Name and Location of High School:
Year
Graduated:
Name and Location of College/University:
Dates
Attended:
Field of Study/Major:
Credits
Earned:
Did you graduate:
YES
NO
If No, Anticipated Graduation Date:
Name and Location of College/University:
Dates
Attended:
Field of Study/Major:
Credits
Earned:
Did you graduate:
YES
NO
If No, Anticipated Graduation Date:
Name and Location of College/University:
Dates
Attended:
Field of Study/Major:
Credits
Earned:
Did you graduate:
YES
NO
If No, Anticipated Graduation Date:
Any other education, training or experiences beneficial to this position:
Work Experience
Employer:
Job Title:
Address: (Street, City, State, Zip Code)
Supervisor’s Name:
Phone Number:
Job Duties:
Reason For Leaving:
Dates Employed:
Employer:
Job Title:
Address: (Street, City, State, Zip Code)
Supervisor’s Name:
Phone Number:
Job Duties:
Reason For Leaving:
Dates Employed:
Job Title:
Employer:
Address: (Street, City, State, Zip Code)
Supervisor’s Name:
Phone Number:
Job Duties:
Reason For Leaving:
Dates Employed:
QUESTIONAIRE
Please fill in answers or check the correct response as directed. All questions must
be answered.
1. Are you currently enrolled as a student at UWSP?
Yes
No
2. Do you currently have a valid driver’s license or
the ability to obtain one upon appointment?
Yes
No
3. Do you have any unpardoned felony convictions?
Yes
No
4. Have you been convicted of any alcohol violations
in the past five (5) years?
Yes
No
5. Do you have more than one moving traffic
violation in the past two (2) years?
Yes
No
6.
Expand on classes, involvement in co-curricular activities, officer held, skills,
trainings, or interests that you feel help qualify you for this position.
7.
How does this position contribute to your professional goals and your future
in general?
8.
Provide any information or comments that you feel will help us to
understand how your interests and abilities relate to this position.
9.
Who do you know who currently works for Protective Services?
As part of the interview/application process prospective employees are required to
go through a background investigation. Please complete the background
investigation form and attach it to the back of your application.
Once all application materials have been received, your application will be
evaluated. Individuals who meet current qualifications will be offered an interview.
______________________________________________________________________
I give permission to check my academic standing and GPA.
Yes
No
Disclosure: For employment it is required to maintain a
semester and cumulative GPA of 2.0 or above.
_____________________________________________________________________
Please read carefully before signing:
I, as the undersigned person completing this application, affirm that all answers I
have provided in this application are complete and correct to the best of my
knowledge. I understand that any false information that I have provided in this
application may disqualify me from this position or future positions with Protective
Services.
_____________________________________
Signature
____________________
Date